Get Swarthmore Physical Health Form

The Swarthmore Physical Health Form is essential for students to ensure that their health records are complete and up to date. Completing this form online is a straightforward process that requires you to provide accurate personal and health information.

Follow the steps to complete the form online:

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by filling in your personal details such as your last name, first name, middle name, date of birth, and gender. Ensure that this information is accurate, as it will be used for your records.
3. Enter your home address, including the number and street, city, state, and zip code. Provide your home phone and cell phone numbers for contact purposes.
4. List up to three emergency contacts, including their names, relationships to you, and their contact numbers.
5. Document any current medical or psychological issues you may have, along with past medical problems and any injuries or accidents.
6. Indicate any medications you take regularly, specifying both prescription and non-prescription drugs, along with dosages.
7. Complete the allergies section by listing any food, latex, or medication allergies, detailing the associated reactions.
8. Fill out the family history section, noting any relatives impacted by conditions such as high blood pressure, cancer, and heart disease.
9. Respond to the personal history questions by checking 'Yes' or 'Currently' for various medical conditions listed, including neurological and psychological issues.
10. Complete the immunization record section by providing dates for required vaccinations and any necessary health evaluations.
11. Sign the form where indicated, marking the date as well. If under age 18, a guardian's signature is also required.
12. Finally, review all filled information for accuracy. Save the changes, then download, print, or share the completed form as necessary.

Complete your Swarthmore Physical Health Form online today to ensure your health records are up to date.