Get This Form Is To Be Completed Annually By Parent/guardian Only

Filling out the student medical information form is an essential task for parents or guardians each year. This guide provides clear steps on how to complete the form accurately online, ensuring that your child's medical information is up to date.

Follow the steps to complete the form online effectively.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editing tool.
2. Carefully fill in the student information section. Provide the student's ID number, last name, first name, middle name, birth date, age, grade, and school. Ensure all entries are printed clearly.
3. In the parent/guardian information section, provide the names and contact information for both the mother/guardian and father/guardian. Include home, work, and cell phone numbers for each.
4. Indicate any health conditions or medical needs requiring assistance at school by checking the appropriate boxes. If applicable, include specific details regarding allergies or medical conditions.
5. Complete the section regarding medical services needed at school, ensuring to note that parent/guardian authorization and physician orders are required.
6. Review the agreement statement concerning the sharing of your child's records and consent for Medicaid billing. Make sure you understand and agree to the terms before signing.
7. Print your name, sign the form, and enter the date of completion at the end of the form.
8. Once filled out, you can save the changes, download the form, print a hard copy for your records, or share it as required.

Complete your student medical information form online today to ensure your child's health needs are met!