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WHEATON COLLEGE STUDENT HEALTH SERVICES
MEDICAL HISTORY REPORT
SEE LAST PAGE FOR INSTRUCTIONS. To be completed by Wheaton College Student; all information must be in English.
Name:ID#
Last nameFirst
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How to fill out student health services forms

How to fill out student health services forms
01
Obtain the student health services forms from the school's health center or website.
02
Fill in personal information such as name, date of birth, and contact information.
03
Provide details about medical history, current medications, and allergies, if applicable.
04
Complete any sections related to insurance coverage or emergency contacts.
05
Review the filled out form for accuracy and completeness before submitting it to the health center.
Who needs student health services forms?
01
Students who are enrolled in the school or university and wish to access health services provided by the institution.
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What is student health services forms?
Student health services forms are documents that students need to fill out in order to provide important medical information to the university health services.
Who is required to file student health services forms?
All students enrolled at the university are required to file student health services forms.
How to fill out student health services forms?
Students can fill out student health services forms online through the university's health services website or by visiting the health services office in person.
What is the purpose of student health services forms?
The purpose of student health services forms is to provide the university health services with necessary medical information about students in case of emergencies or medical treatment needs.
What information must be reported on student health services forms?
Student health services forms typically require students to provide information such as their medical history, any allergies, current medications, emergency contact information, and health insurance details.
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