Get Student Medical Form - Wingate University - Wingate

The student medical form for Wingate University is a crucial document that must be filled out accurately to ensure your health needs are met while you pursue your studies. This guide will walk you through each section of the form, providing clear instructions for a smooth completion process.

Follow the steps to effectively fill out the form.

1. Press the ‘Get Form’ button to access the student medical form and open it for editing.
2. Begin by entering your full name in the designated fields. Include your last name, first name, and middle name as required. Make sure to double-check for correctness.
3. Fill out your date of birth, marital status, age, sex, gender, and race. This information is essential for identification and health assessment purposes.
4. Indicate your admissions status by selecting the appropriate option, such as new student, freshman, sophomore, junior, senior, or transfer. Also, provide your entering date.
5. Complete your home address and contact information accurately, including your street address, city, state, zip code, and telephone number.
6. Provide the name and relationship of your next of kin, along with their contact details, including home and business addresses and phone numbers.
7. Indicate your citizenship status by selecting 'Yes' or 'No' and, if applicable, provide your nationality.
8. Input your health insurance information. If available, include your insurance company's name, phone number, address, subscriber's name, date of birth, social security number, subscriber ID number, and group number.
9. Complete the mandatory medical requirements checklist to ensure that all necessary health documentation is prepared for submission.
10. Fill out the medical history section by listing any current medications, allergies, and pertinent medical history. Answer all personal history questions honestly.
11. In the physical exam and health evaluation section, your medical provider will complete the provided fields. This includes height, weight, and general health indicators.
12. Ensure all immunizations are documented as required, and confirm that the examining provider has signed this section.
13. Review all sections for completeness and accuracy. Once completed, save your changes, and you may opt to download, print, or share the form as needed.

Complete the student medical form online today to ensure your health needs are addressed at Wingate University.