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Parent\'s/Guardian\'s Statement of Health/Activity Restrictions This form must be completed for children who will be at least 5 years old on 9/1/24 and who were enrolled at Brookview during the 202425
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How to fill out parentguardian statement of health

01
Obtain the parent/guardian statement of health form from the designated source.
02
Fill out the student's personal information such as name, date of birth, and student ID number.
03
Provide detailed information regarding any existing medical conditions or allergies that the student may have.
04
Specify any medications that the student is currently taking and doses.
05
Sign and date the form as the parent or guardian authorizing the information provided.
06
Submit the completed parent/guardian statement of health form to the appropriate school or institution as required.

Who needs parentguardian statement of health?

01
Parent/guardian statement of health is typically required by schools, educational institutions, and summer camps when enrolling a student or participant in their programs.

What is Parent/Guardian Statement of Health Form?

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Instructions for the Parent/Guardian Statement of Health form

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The parent/guardian statement of health is a document that provides a summary of a student’s health history and current health status, often required by schools or educational institutions.
Typically, parents or guardians of students entering school for the first time, transferring to a new school, or participating in certain programs or activities are required to file the statement.
To fill out the parent/guardian statement of health, individuals should provide accurate and complete information about the child's medical history, immunizations, and any ongoing health issues by following the guidelines provided by the school or institution.
The purpose of the parent/guardian statement of health is to ensure the school is informed about the student's health, which can help in providing necessary medical care and maintaining a safe environment for all students.
The information that must be reported typically includes the child's immunization history, allergies, current health conditions, medications, and any previous illnesses or surgeries.
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