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How to fill out the STUDENT HEALTH INFORMATION SHEET online
Completing the Student Health Information Sheet is an important step in ensuring the health and safety of students. This guide will provide you with clear instructions on filling out the form online, making the process simple and efficient.
Follow the steps to complete the form with ease.
- Press the ‘Get Form’ button to retrieve the form and access it for input.
- In the first section, enter the student's name and the name of a parent or guardian. Fill in the address and phone number, along with the date of birth.
- Provide the name and phone number of the family doctor.
- Indicate whether the student suffers from any frequent health issues by checking the appropriate boxes for colds, sore throats, earaches, headaches, nosebleeds, fainting spells, allergies, and food allergies.
- If food allergies are present, specify them in the provided space.
- Mark whether the student has asthma, seizures, a heart condition, diabetes, pneumonia, or other health problems, and add details if necessary.
- Document any past surgeries, fractures, or other injuries that the student has experienced.
- Indicate if the student has ever had chicken pox and provide the date, including at least the month and year, to ensure vaccination exemptions.
- State whether the student wears glasses or contact lenses.
- Comment on any known speech or hearing problems the student may have.
- If the student has any restrictions due to health issues, please outline them.
- List any medications the student takes daily, including both school and home medications, along with the reasons for taking them.
- Confirm any medication allergies and list them in the appropriate section.
- Describe any additional health conditions or pertinent information regarding the student’s health.
- Finally, ensure the form is dated, then sign with the parent or guardian's name before returning.
Complete and submit the Student Health Information Sheet online for a smoother process.
If you have more questions about school health programs, call 311.
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