Get Yale University Health Form And Physical Exam 2021-2025

Navigating online forms can be straightforward with the right guidance. This document aims to provide a comprehensive walkthrough for filling out the Yale University Health Form and Physical Exam.

Follow the steps to complete your health form online.

1. Click ‘Get Form’ button to access the document and open it in the editor.
2. Begin by entering your last name and first name in the designated fields. Ensure that you fill in your email address and student cell phone number for contact purposes.
3. Complete the home address section, making sure to include your city and state to ensure accuracy in your records.
4. Provide the name of your emergency contact, along with their relationship to you and their phone number.
5. Input your date of birth in the specified format (Month/Day/Year) and indicate your sex assigned at birth.
6. Next, fill in your parent's or guardian's home and work phone numbers.
7. Complete the gender identity section, providing details as applicable.
8. Proceed to the physical examination section, where your healthcare provider will need to fill out your height, weight, blood pressure, and pulse.
9. Answer questions about allergies to medications and severe food allergies. If applicable, list them in the space provided.
10. List any current or past medical, surgical, or psychiatric conditions, along with relevant medical information.
11. Document any prescription medications you take, including dosage details.
12. List any vitamins, supplements, and over-the-counter medications that you take regularly.
13. Your healthcare provider will then perform a clinical evaluation. They will assess several health areas, including skin, lungs, heart, and more, indicating whether each area is normal or abnormal.
14. The healthcare provider must conclude the form by signing it, printing their name, and providing their contact information, including address, phone, and fax.
15. Once completed, review the form for accuracy. You can save changes, download, print, or share the document as necessary.

Ensure all your information is accurately submitted and complete your health form online today.