Get the free Student Health History/physical Examination Form

This form is designed for students at the University of St. Francis to provide their health history and undergo a physical examination. It collects information regarding past medical conditions, family health history, social habits, and consent for emergency medical treatment. It is mandatory for students entering residence halls or participating in athletic programs.

How to fill out student health historyphysical examination

How to fill out student health historyphysical examination

1. Obtain a copy of the student health history form from your school or healthcare provider.
2. Begin with personal information: Fill in the student's name, date of birth, and contact information.
3. List any known allergies: Include food, medication, or environmental allergies.
4. Document past medical history: Record any previous illnesses, surgeries, or chronic conditions.
5. Include current medications: Write down any prescription or over-the-counter medications the student is taking.
6. Note family medical history: Indicate any relevant conditions in the student's immediate family.
7. Provide details on immunizations: Make sure to include dates and types of vaccinations received.
8. Complete the physical examination section: This may require a healthcare provider to assess height, weight, vision, and general health.
9. Sign and date the form: The parent or guardian should sign to confirm that the information provided is accurate.
10. Submit the completed form to the appropriate school official or health office.

Who needs student health historyphysical examination?

1. All students entering a new school or program
2. Students participating in sports or physical activities
3. Students who have a history of medical conditions
4. Students requesting special accommodations based on health needs
5. Incoming kindergarten or first-grade students

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What is student health history physical examination?

The student health history physical examination is a comprehensive assessment that collects information about a student's medical history, current health status, and any physical conditions that may affect their ability to participate in school activities.

Who is required to file student health history physical examination?

Typically, all students entering a new school, changing schools, or participating in specific programs such as sports are required to file a student health history physical examination.

How to fill out student health history physical examination?

To fill out the student health history physical examination, parents or guardians should complete the provided form with accurate details about the student's medical history, current medications, allergies, immunizations, and any relevant medical conditions.

What is the purpose of student health history physical examination?

The purpose of the student health history physical examination is to ensure the safety and health of students, to identify any health issues that may need attention, and to provide schools with the information needed to support each student's health needs.

What information must be reported on student health history physical examination?

The information that must be reported typically includes the student's medical history, current health conditions, medications, allergies, immunization records, and any physical limitations or concerns.