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TEMPLE UNIVERSITY Student Health Services A Commonwealth University 1700 N. Broad Street, 4th floor Philadelphia, PA 19121Tele: (215)2047500 Fax: (215)2044660 medicalrecords@temple.eduAUTHORIZATION
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01
Gather necessary personal information, including your name, date of birth, and student identification number.
02
Review the instructions provided with the forms to ensure you understand each section.
03
Fill out the health history section honestly, including any current or past medical conditions.
04
Provide details about any medications you are currently taking.
05
Complete the emergency contact information section.
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Sign and date the form where required.
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Submit the completed forms by the specified deadline, either online or in person, as instructed.

Who needs formsstudent health services?

01
Students enrolling in the institution who require health services.
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Students participating in sports or physical activities.
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Students seeking mental health support or counseling services.
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International students who need health insurance verification.
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Forms for student health services refer to the documentation and requirements that students must complete to access health-related services offered by educational institutions.
Typically, all enrolled students who wish to utilize campus health services or are required to provide proof of health insurance must file the forms.
Students can fill out the forms by gathering the required information, entering it accurately into the provided format, and submitting it as directed by their institution's health services.
The purpose is to ensure that students have access to necessary health services and that the institution is aware of their health status and insurance coverage.
Students must typically report personal information, health history, insurance details, and any current medical conditions needing attention.
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