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DMACC DES MOINES AREA COMMUNITY COLLEGEINSTRUCTIONS FOR COMPLETING STUDENT HEALTH AND IMMUNIZATION RECORDHealth and Public Service Department students need to complete and submit the Student Health and Immunization Record when beginning their program. The form must be completed with health care provider (HCP) verification of current immunization, conditions requiring treatment, and/or special accommodation needs. Complete documentation is necessary for assigning students to cooperating...
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How to fill out 554 - student health

01
Obtain the 554 - Student Health form from your educational institution's health office or website.
02
Fill out your personal information including your full name, date of birth, and student identification number.
03
Indicate your current address and contact information.
04
Provide details about your medical history, including any allergies, chronic illnesses, or previous surgeries.
05
List any medications you are currently taking, along with dosages and prescribing physician information.
06
Indicate any health insurance information if applicable.
07
Sign and date the form to certify that all information provided is accurate and complete.
08
Submit the completed form to the designated office (e.g., health services or student affairs) by the specified deadline.

Who needs 554 - student health?

01
All students enrolled in educational programs that require health documentation.
02
Students who are participating in sports or physical activities that require a health assessment.
03
New students who are entering a college or university and need to provide proof of health information.
04
Students returning to school who have had significant health changes since their last enrollment.
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554 - student health is a form used to collect health-related information from students, typically required by educational institutions to ensure the well-being of their students.
Students who are enrolling in educational programs that require health documentation or verification are typically required to file 554 - student health.
To fill out 554 - student health, individuals must provide personal information, health history, and immunization records as requested on the form.
The purpose of 554 - student health is to assess student health status, ensure compliance with health regulations, and provide necessary health services.
Information that must be reported on 554 - student health includes personal identifying information, medical history, immunization records, and any current health conditions.
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