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N.C. Department of Public Instruction | School Nutrition ServicesRevised 6/2017Guidance for Completing the Medical Statement for Students with Unique Mealtime Needs for School Meals PART A PARENT/GUARDIAN The

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How to fill out medical statement for students

01

Start by obtaining the medical statement form from the school or educational institution.

02

Fill in the student's personal information such as name, date of birth, and student ID number.

03

Provide details of the medical condition or reason for needing the medical statement.

04

Include any specific instructions or accommodations needed for the student's condition.

05

Sign and date the form as the designated healthcare provider or parent/guardian.

Who needs medical statement for students?

01

Students who have medical conditions that may require accommodations at school.

02

Students participating in school sports or physical activities that may require medical clearance.

03

Students going on field trips or studying abroad that may require medical information to be on file.

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What is medical statement for students?

A medical statement for students is a document that provides information about a student's medical condition, necessary treatments, and any accommodations needed to support their health and well-being while at school.

Who is required to file medical statement for students?

Parents or guardians of students are usually required to file a medical statement for their child, along with the student's healthcare provider who completes the medical information.

How to fill out medical statement for students?

To fill out a medical statement for students, parents or guardians should provide their child's medical history, current medical condition, prescribed medications, and any necessary accommodations or restrictions.

What is the purpose of medical statement for students?

The purpose of a medical statement for students is to ensure that schools are aware of any medical conditions that may require special attention or accommodations to support the student's health and well-being.

What information must be reported on medical statement for students?

Information such as the student's medical history, current medical condition, prescribed medications, any necessary accommodations, and emergency contact information must be reported on a medical statement for students.

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