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PRACTICUM APPLICATION Student Health and Counseling Services211 & 214 Wilder Tower The University of Memphis, TN 38152 901.678.2068IMPORTANT INSTRUCTIONSPLEASE NOTE: Student Health and Counseling
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01
Obtain a copy of the practicum application student health form.
02
Fill out the personal information section including name, address, contact information, and emergency contact.
03
Provide information on any allergies, medical conditions, or medications being taken.
04
Complete the immunization history section, including dates of required vaccines.
05
Sign and date the form to acknowledge accuracy and understanding of the information provided.
06
Submit the completed form following the instructions provided by the institution.

Who needs practicum application student health?

01
Students who are applying for a practicum experience in a healthcare setting or related field.
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Practicum application student health refers to the process through which students submit their health documentation and information to ensure they meet the health requirements necessary for participating in a practicum or internship.
Students who are enrolled in programs that require a practicum or internship component are typically required to file a practicum application student health.
To fill out the practicum application student health, students should complete the provided forms accurately, ensuring all required health information, immunizations, and medical history are documented.
The purpose of practicum application student health is to ensure that students are in good health and fit to complete their required practical training, which may involve exposure to various health risks.
Information that must be reported typically includes vaccination status, medical history, allergies, and any existing medical conditions that may impact a student's ability to participate in the practicum.
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