Get Health History And Medical Form - Art Academy Of Cincinnati

Completing the Health History And Medical Form for the Art Academy of Cincinnati is an essential step for ensuring your health and well-being while attending classes. This guide provides clear instructions for filling out the form accurately and efficiently in an online format.

Follow the steps to fill out the form online.

1. Press the ‘Get Form’ button to access and open the Health History And Medical Form in your preferred online editor.
2. Begin by filling out your personal information, including your name, date of birth, country of citizenship, and visa status. Ensure all fields are accurately completed.
3. Provide your permanent address, including city, state, and ZIP code. Additionally, include both your home and cell telephone numbers for contact purposes.
4. Complete the emergency contact section by listing the name and telephone numbers of the person to be notified in case of an emergency.
5. Input the name and contact information of your physician, and provide the name of your primary health insurance company along with the policy ID number and effective date of coverage.
6. Affix your signature and date at the bottom of the form. If you are under 18 years of age, ensure a parent or guardian also signs the form.
7. Proceed to the health history section. Answer questions regarding any chronic conditions, previous consultations with mental health specialists, or any medications you are taking.
8. Indicate if you have any known allergies, if you have received adrenaline for an allergic reaction, and detail any past hospitalizations.
9. If applicable, fill out the housing health history form separately, confirming your understanding of vaccination information and your vaccination status for meningococcal meningitis and hepatitis B.
10. After completing the form, review all sections for accuracy. Once confirmed, you can choose to save your changes, download, print, or share the completed form as needed.

Submit your completed Health History And Medical Form online today to ensure a smooth start at the Art Academy of Cincinnati.