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BRANDENBURG COUNTY SCHOOL DISTRICT NURSING DEPARTMENT CONFIDENTIAL SCHOOL HEALTH HISTORY/CONSENT Preschool Year: ___Last Name: ___ First: ___MI: ___ DOB: ___ Gender: ___ School: ___Teacher:___ Grade:
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How to fill out confidential school health history

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How to fill out confidential school health history

01
Obtain the confidential school health history form from the school's administration office.
02
Fill out all sections of the form completely and accurately, including student's personal information, medical history, allergies, medications, and emergency contact information.
03
Be sure to sign and date the form, acknowledging that the information provided is true and accurate.
04
Return the completed form to the school's administration office as soon as possible.

Who needs confidential school health history?

01
Any student who is attending the school or participating in school activities may need to complete a confidential school health history form. This form helps school personnel to be aware of any medical conditions or special needs that may require accommodations or emergency care.
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Confidential school health history refers to a detailed record of a student's medical history, including any existing health conditions, allergies, medications, and immunization records.
Parents or guardians of students are typically required to submit the confidential school health history to the school authorities.
Confidential school health history forms are usually provided by the school, and parents or guardians can fill them out by providing accurate and detailed information about the student's medical history.
The purpose of confidential school health history is to ensure that schools are aware of any medical conditions or allergies that students may have, so they can provide appropriate care and accommodations.
Information such as existing health conditions, allergies, medications, and immunization records must be reported on the confidential school health history form.
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