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STUDENT NAME (LAST, FIRST) ___PREPARTICIPATION PHYSICAL EVALUATIONMEDICAL HISTORY Please answ er each question by circling YES or NO. If you do not know the answ er circle the question. 1.Have you
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Obtain the Liberty Hill ISD medical form from the school or website.
02
Fill out the patient's personal information such as name, DOB, address, and contact details.
03
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04
Include information on any medications the patient is currently taking.
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Students attending Liberty Hill ISD who may require medical attention or have ongoing medical conditions.
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Liberty Hill ISD medical refers to the medical benefits and services provided to employees and students within the Liberty Hill Independent School District.
Employees of Liberty Hill ISD who participate in the district's health insurance plan are required to file the Liberty Hill ISD medical forms.
To fill out Liberty Hill ISD medical forms, individuals should obtain the necessary forms from the district's HR department, complete all required sections with accurate information, and submit them to the designated office.
The purpose of Liberty Hill ISD medical is to provide a structured process for employees and students to access healthcare benefits and ensure compliance with district policies.
Information that must be reported includes personal identification details, insurance coverage options, dependent information, and any medical conditions that may affect coverage.
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