Get the free Student Health Record

This document is a required health record for graduate students entering the Physician Assistant Program at Mercyhurst University. It includes the Pre-Admission Immunization Record and the Cohen Health Center Student Health Record necessary for clinical affiliations and access to the health center\'s services. Students must complete all required forms and submit them by April 11, 2025.

How to fill out student health record

How to fill out student health record

1. Start by gathering all necessary personal information such as the student’s name, date of birth, and school identification number.
2. Fill in the student's emergency contact details, including names and phone numbers of guardians.
3. Provide information on the student's medical history, including past illnesses, surgeries, and chronic conditions.
4. List any allergies the student may have, detailing what they are allergic to and the reactions experienced.
5. Include immunization records, ensuring all vaccinations are up to date.
6. Document any ongoing medications the student is taking, including dosage and frequency.
7. Sign and date the form, indicating that the information provided is accurate to the best of your knowledge.

Who needs student health record?

1. Students enrolling in public or private schools.
2. School nurses and healthcare providers for emergency medical care.
3. Sports coaches who need to ensure student safety during physical activities.
4. School administrators for maintaining health records.
5. Parents or guardians to monitor and ensure their child’s health needs are met.

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What is student health record?

A student health record is a comprehensive collection of a student's health information, including medical history, immunizations, allergies, and other relevant health data.

Who is required to file student health record?

Typically, educational institutions require students or their guardians to file student health records upon enrollment or registration.

How to fill out student health record?

To fill out a student health record, gather necessary health information, complete the required forms accurately, and provide any supporting documents, such as immunization records.

What is the purpose of student health record?

The purpose of a student health record is to ensure that the school has accurate health information to support the student's well-being and manage any health-related issues.

What information must be reported on student health record?

The information that must be reported typically includes medical history, immunization status, allergies, current medications, and any chronic conditions.