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Get Bgsu Health Assessment Form
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How to fill out the Bgsu Health Assessment Form online
Filling out the Bgsu Health Assessment Form online is an important step in ensuring your health records are up to date before beginning classes. This guide provides clear instructions to help users complete the form accurately and efficiently.
Follow the steps to complete the Bgsu Health Assessment Form online.
- Press the ‘Get Form’ button to obtain the health assessment form and open it in your preferred editor.
- Begin by typing your personal details, including your name, home address, and contact information. Be sure that all information is accurate, as this will become part of your Student Medical Record.
- Specify your gender by selecting from the options provided: male, female, transgender, or other, as well as your date of birth in the specified format.
- Complete the section regarding your parents' contact information. Include their names, addresses, phone numbers, and specify if they are your father or mother.
- In the emergency contact section, provide details of the primary person to notify in case of an emergency, including their name, relationship to you, and full contact information.
- If applicable, respond to the disability section by indicating any disabilities you identify with and providing specific details as necessary.
- List all medications you are currently taking, including the medication name, dosage, frequency, and the conditions for which you are taking them.
- Indicate any allergies you may have by checking the relevant boxes and providing details about your reactions.
- Document any past medical problems, treatments, accidents, hospitalizations, or surgeries, including the dates when applicable.
- Complete information about your family medical history, specifying any relevant health conditions that affect your immediate family members.
- Review and acknowledge the Notice of Privacy Practices by signing the designated area. Your signature indicates your understanding of how your information will be handled.
- If under 18 years of age, secure a parent or guardian's signature for medical treatment consent. They will also need to provide their contact information.
- Fill out the immunization record section by listing relevant immunizations and signing where indicated. Make sure to include attachments if necessary.
- Ensure all fields are completed, review your entries for accuracy, and save any changes made to the form.
- After finalizing the form, download a copy for your records. You can also print or share the form as required.
Complete your Bgsu Health Assessment Form online today to ensure a smooth start to your classes!
Questions about the functions of the office can be answered by calling 419-372-8441, by faxing 419-372-7977 or by emailing Registrar@bgsu.edu.
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