Get the free Health History and Physical Form

This form is required for all full-time new freshmen and transfer students to submit a comprehensive health history and immunization record as mandated by Virginia State Law. It includes personal information, medical history, and immunization details necessary for enrollment at Norfolk State University.

How to fill out health history and physical

How to fill out health history and physical

1. Gather personal information: Start with your name, date of birth, and contact information.
2. List medical history: Include past illnesses, surgeries, and hospitalizations.
3. Detail family medical history: Include any hereditary conditions or diseases in your family.
4. Record current medications: List all prescription and over-the-counter medications you're taking.
5. Note allergies: Include any known allergies to medications, food, or environmental factors.
6. Provide lifestyle information: Mention your diet, exercise habits, alcohol consumption, and smoking status.
7. Fill out vaccination history: Record all vaccinations you've received and their dates.
8. Prepare for physical exam: Be ready to discuss any health concerns or symptoms with your healthcare provider.

Who needs health history and physical?

1. Individuals seeking routine health check-ups.
2. Patients with chronic conditions needing regular monitoring.
3. People applying for new jobs or schools that require medical documentation.
4. Athletes requiring clearance to participate in sports.
5. Individuals preparing for surgery or other medical procedures.

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What is health history and physical?

Health history and physical refers to a compilation of an individual's medical background and a thorough examination conducted by a healthcare professional to assess the person's overall health status.

Who is required to file health history and physical?

Typically, students participating in certain sports or activities, as well as individuals seeking certain employment or medical services, are required to file health history and physical.

How to fill out health history and physical?

To fill out health history and physical, individuals should provide accurate information regarding their past medical issues, surgeries, allergies, medications, family history of diseases, and undergo a physical examination by a licensed healthcare provider.

What is the purpose of health history and physical?

The purpose is to identify any pre-existing conditions that may affect participation in activities, ensure safety, and provide necessary medical recommendations based on an individual's health status.

What information must be reported on health history and physical?

Key information includes personal medical history, family health history, current medications, allergies, immunization records, and results from the physical examination.