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This form is used to collect health history information for students at Henrico County Public Schools. It includes sections for personal information, legal guardians, emergency contacts, health problems, medications, and considerations related to religious beliefs. The information provided is essential for ensuring the health and safety of students while at school.
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How to fill out student health history

How to fill out student health history
01
Begin by gathering personal information such as the student's name, date of birth, and contact details.
02
Fill in the student's medical history, including any past illnesses, surgeries, or chronic conditions.
03
Include information about any allergies, medications currently being taken, and previous hospitalizations.
04
Provide details of family medical history that may be relevant to the student’s health.
05
Complete the immunization records section with dates of vaccinations received.
06
Ensure any required consent forms or signatures are completed.
Who needs student health history?
01
Schools require student health histories to ensure the safety and well-being of students.
02
Teachers and school staff need this information to accommodate any medical needs during school hours.
03
Health professionals in schools, such as nurses, need the history to provide appropriate care.
04
Emergency responders may require this information in case of a medical emergency.
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What is student health history?
Student health history is a record that contains information about a student's medical history, including past illnesses, allergies, immunizations, and any ongoing health issues.
Who is required to file student health history?
Typically, students entering a new educational program or institution are required to file a student health history. This often includes new students, transfers, and those participating in certain health-related programs.
How to fill out student health history?
To fill out student health history, individuals should provide accurate and complete information regarding their medical background, including vaccinations, past surgeries, chronic conditions, and any medications currently being taken.
What is the purpose of student health history?
The purpose of student health history is to ensure that educational institutions are aware of any health concerns that may affect the student's participation in education activities, and to provide necessary medical support if required.
What information must be reported on student health history?
Information that must be reported includes personal identification details, immunization records, allergies, chronic illnesses, past surgeries or hospitalizations, and current medications.
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