Form preview

Get the free Entrance Medical Record - Oxford College - Emory University - oxford emory

Get Form
1 OXFORD COLLEGE OF EMORY UNIVERSITY STUDENT HEALTH SERVICE 600 Haywood Street, Muddy Hall, Oxford, Georgia 30054 Telephone: 770.784.8376 Fax: 770.784.8386 Oxfords Emory.edu ENTRANCE MEDICAL RECORD
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign entrance medical record

Edit
Edit your entrance medical record form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your entrance medical record form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing entrance medical record online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to benefit from the PDF editor's expertise:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit entrance medical record. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
With pdfFiller, dealing with documents is always straightforward.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out entrance medical record

Illustration

How to fill out an entrance medical record:

01
Start by providing personal information: Begin filling out the form by providing your full name, date of birth, and contact information. This helps healthcare providers identify you correctly and reach out if necessary.
02
Document your medical history: The next step is to provide details about your medical history. Include any previous illnesses, surgeries, allergies, medications, or chronic conditions you have or have had in the past. This information helps healthcare professionals understand your health background.
03
List any current medications: Make a thorough list of all the medications you are currently taking, including prescription drugs, over-the-counter medications, vitamins, and dietary supplements. This is crucial for healthcare providers to be aware of any potential drug interactions or adverse effects.
04
Include immunization records: Provide information about your immunization history, including vaccines received and dates. This is important for healthcare professionals to ensure you are up-to-date on necessary vaccinations and to prevent the spread of infectious diseases.
05
Provide emergency contact details: In case of any medical emergencies, it is important to provide contact information for a trusted individual who can be reached in such situations. Include their name, relationship to you, and their phone number.
06
Sign and date the form: Once you have filled out all the necessary sections of the entrance medical record, be sure to read through it carefully and sign and date the document. This signifies that the information provided is accurate to the best of your knowledge.

Who needs an entrance medical record?

An entrance medical record is required for individuals entering healthcare facilities such as hospitals, clinics, or medical practices. This includes patients seeking treatment or medical care, as well as individuals admitted for specific procedures or surgeries. It helps healthcare providers gather comprehensive information about a patient's health history, ensuring accurate diagnosis and appropriate treatment. Additionally, entrance medical records are essential for maintaining a patient's healthcare records and facilitating communication between different healthcare professionals involved in their care.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
45 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Entrance medical record is a document that contains the medical history and current health status of an individual upon their admission to a facility or program.
The individual or their guardian is typically required to file the entrance medical record upon admission.
The entrance medical record is typically filled out by providing information on medical history, current medications, allergies, and any existing health conditions.
The purpose of entrance medical record is to provide healthcare providers with necessary information to ensure proper care and treatment of the individual.
Information such as personal details, medical history, current health status, allergies, medications, and any existing health conditions must be reported on entrance medical record.
pdfFiller and Google Docs can be used together to make your documents easier to work with and to make fillable forms right in your Google Drive. The integration will let you make, change, and sign documents, like entrance medical record, without leaving Google Drive. Add pdfFiller's features to Google Drive, and you'll be able to do more with your paperwork on any internet-connected device.
Easy online entrance medical record completion using pdfFiller. Also, it allows you to legally eSign your form and change original PDF material. Create a free account and manage documents online.
On your mobile device, use the pdfFiller mobile app to complete and sign entrance medical record. Visit our website (https://edit-pdf-ios-android.pdffiller.com/) to discover more about our mobile applications, the features you'll have access to, and how to get started.
Fill out your entrance medical record online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.