Get Pre-matriculation Physical Evaluation Form For Category B

The Pre-Matriculation Physical Evaluation Form for Category B is essential for incoming students. This guide provides step-by-step instructions to assist users in completing the form online accurately and efficiently.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to acquire the form and open it within an editor.
2. Fill in the personal details section, which includes last name, first name, date of birth, sex, social security number, and campus key.
3. Provide your current and local addresses, along with home and cell phone numbers and your Jefferson email address.
4. In the emergency contact section, enter the name and phone number of a relevant contact.
5. Indicate if you have been a previous student or employee at Jefferson, and provide program and year of graduation if applicable.
6. Select the program you are entering from the provided options and note your expected start and graduation dates.
7. Review the verification of information section and confirm the truthfulness of your statements by providing your signature and date.
8. Complete the medical history section by checking any relevant health issues you may have experienced.
9. Fill out the student immunization documentation with results and dates for each vaccine requirement as requested.
10. Complete the physical examination section with the assistance of your healthcare provider, ensuring all necessary information is accurately recorded.
11. After completing all sections, ensure that any required lab reports are attached and saved within the document.
12. Finally, save your changes to the form, and then download, print, or share the completed document as necessary.

Start filling out your documents online to keep your admission process smooth and efficient.