Get Yale University Health Form And Physical Exam 2010-2025

Completing the Yale University Health Form And Physical Exam online is a straightforward process that ensures proper submission of important health information. This guide provides detailed, step-by-step instructions to help you navigate each section of the form effectively.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the form and open it in your editing tool.
2. Begin by indicating your Yale University affiliation by checking the appropriate box—either Undergraduate or Graduate/Professional Student. If applicable, include your department or school specialization in the space provided.
3. Fill in your personal details, including your last name, first name, email address, student cell phone number, and home address to ensure accurate contact information.
4. Select your gender by marking one of the options: Male, Female, or Transgender. This information is essential for health services.
5. Provide the contact information for your parent or guardian, including home and work phone numbers, as well as the name of your emergency contact and their phone number.
6. Indicate your date of birth by filling in the month, day, and year fields accurately.
7. In the Physical Examination section, your healthcare provider will need to complete various fields such as height, weight, BMI, blood pressure, and pulse. Ensure your provider includes any allergies to medications, food allergies, and whether an ® is prescribed.
8. List any current or past medical, surgical, or psychiatric conditions as well as prescription medications, vitamins, and supplements you regularly take; be as detailed as possible.
9. Your healthcare provider will also conduct a clinical evaluation and will need to mark normal or abnormal findings in each listed area. Comments can be added for any specific observations.
10. The healthcare provider must indicate whether you are cleared for full physical activity and provide any recommendations. They should then sign, print their name, and provide their date and contact information, including address and phone number.
11. Once all fields are completed and signed by the appropriate parties, save your changes. You may also choose to download, print, or share the completed form as needed.

Start filling out your Yale University Health Form And Physical Exam online today to ensure your health needs are met.