Get the free Complete Graduate Health Record - Brandeis University - brandeis

FOR HEALTH SERVICES USE ONLY PLEASE NOTE Your completed health records are required for enrollment. Forms must be in ENGLISH using INK. Please submit forms via mail service or by faxing. Additionally,

How to fill out complete graduate health record

How to fill out a complete graduate health record:

Gather all necessary personal information:

1. Full name
2. Date of birth
3. Address
4. Contact information
5. Social security number
6. Health insurance details

Provide academic information:

1. Name of the graduate program or university
2. Expected graduation date
3. Student ID or identification number

Include medical history:

1. List any past illnesses or chronic conditions
2. Specify any allergies or sensitivities
3. Note any surgeries or hospitalizations
4. Mention any ongoing medications or treatments

Immunization records:

1. Provide proof of required vaccinations
2. Include dates and types of vaccinations
3. Check if any booster shots are needed

Physical examination:

1. Get a comprehensive physical exam by a healthcare provider
2. Record the results of the examination
3. Include any additional tests or screenings done

Mental health information:

1. Mention any previous counseling or therapy
2. Note any mental health diagnoses or conditions
3. Include current mental health treatment, if applicable

Emergency contact information:

Provide the name and contact details of a trusted emergency contact person

Signature and date:

1. Sign and date the completed health record
2. Review the information for accuracy and completeness

Who needs a complete graduate health record?

A complete graduate health record is typically required by universities, graduate programs, and academic institutions. It is important for them to have a comprehensive understanding of a student's health status to ensure the safety and well-being of the individual throughout their academic journey. Additionally, the information provided in the graduate health record helps healthcare providers on campus to provide appropriate care and support if needed.

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What is complete graduate health record?

A complete graduate health record includes a student's medical history, immunization records, and any reported illnesses or injuries during their time in school.

Who is required to file complete graduate health record?

All graduating students are required to file a complete graduate health record with their school's health services department.

How to fill out complete graduate health record?

Students can fill out their complete graduate health record by providing accurate information about their medical history, immunization status, and any recent illnesses or injuries.

What is the purpose of complete graduate health record?

The purpose of a complete graduate health record is to ensure that graduating students are in good health and meet the necessary health requirements to enter the workforce or continue their education.

What information must be reported on complete graduate health record?

Information such as medical history, immunization records, recent illnesses or injuries, and any prescribed medications must be reported on a complete graduate health record.