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Student Health Record www.healthservices.uindy.edu (317) 788-3437 / Fax: (317) 788-3371 Intended enrollment date:, 20 Student Campus IDs # A Last 4 digits of Student SS# Instructions: Mandatory for
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How to fill out student health record
How to fill out a student health record:
01
Begin by obtaining a copy of the student health record form from your educational institution or healthcare provider.
02
Carefully read all instructions on the form to understand the information being requested and any specific guidelines for completion.
03
Provide accurate and up-to-date personal information, including the student's name, date of birth, and contact details.
04
In the medical history section, provide details of any past or current medical conditions, allergies, surgeries, medications, or other relevant information.
05
Include information about the student's immunizations and vaccination history, ensuring that all required immunizations are up-to-date according to your local regulations or school policies.
06
If applicable, provide details about any ongoing treatments or therapies that the student is receiving.
07
In the emergency contact section, provide the names and contact information of individuals who should be notified in case of a medical emergency involving the student.
08
If required, obtain the necessary signatures from the student's parent or guardian, affirming the accuracy of the information provided.
09
Double-check the completed form for any errors or omissions before submitting it to the appropriate person or department.
Who needs a student health record?
01
Educational institutions such as schools, colleges, and universities often require students to have a completed health record on file.
02
Health professionals, including doctors, nurses, and school nurses, may need access to a student's health record to provide appropriate care or treatment.
03
Having a student health record can be beneficial for parents or guardians as it ensures that relevant medical information is readily available in case of emergencies or during healthcare appointments.
04
Health insurance providers may request a student health record as part of their assessment process for coverage or policy evaluation.
05
Some extracurricular activities, such as sports teams or summer camps, may also require a student health record to ensure the safety and well-being of participants.
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What is student health record?
Student health record is a document that contains information about a student's medical history, vaccinations, allergies, and any special health needs.
Who is required to file student health record?
Parents or guardians of the student are usually required to file the student health record with the school or educational institution.
How to fill out student health record?
Parents or guardians can fill out the student health record by providing accurate information about the student's medical history, vaccinations, allergies, and any special health needs.
What is the purpose of student health record?
The purpose of student health record is to ensure that the school or educational institution has important medical information about the student in case of emergencies or health-related issues.
What information must be reported on student health record?
Information such as the student's medical history, vaccinations, allergies, and any special health needs must be reported on the student health record.
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