Get 2013-2014 Health Background Form (pdf) - Health Services ...

This guide provides you with clear instructions on how to complete the 2013-2014 Health Background Form online. By following these steps, you will ensure that all necessary information is accurately submitted for health services.

Follow the steps to successfully complete the form:

1. Click the ‘Get Form’ button to obtain the form and open it in your selected PDF editor.
2. Begin by filling in your personal information at the top of the form. Include your name, birthdate, preferred phone number, and academic program or major.
3. If you are under 18 years old, complete Part 1 by obtaining a signature from your parent or guardian to give consent for health treatment.
4. Proceed to Part 2, which requires meningitis information. Choose one of the provided statements regarding your immunization status and provide your signature.
5. Complete the health history section in Part 2 by listing any drug allergies, current medications, and any medical or psychological conditions.
6. In Part 3, include your immunization records. Ensure that this section is either signed by your health care provider or attach relevant documents confirming your vaccines.
7. Fill out Part 4 regarding tuberculosis screening by answering the questions in Sections A and B as applicable.
8. If you answered 'yes' to any questions in Sections A or B, provide the necessary information in Section C, to be completed by your health care provider.
9. Complete Part 5 only if you are a first-year dental or third-year nursing student, ensuring it is signed by a health care provider.
10. Once all sections are completed, save your changes to the form. You may then choose to download, print, or share the completed form as needed.

Start completing your documents online now to ensure prompt processing of your health information.