Get Bucknell University Medical Information Form - Bucknell

The Bucknell University Medical Information Form is an essential document for students participating in study abroad programs. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out the personal data section by entering your name, gender, BU ID number or Social Security Number, email address, and semester you plan to study abroad (either Fall, Spring, or Academic Year) along with the program name.
3. In the medical information section, respond to the questions regarding your current medical treatment and any significant mental health issues. If applicable, provide explanations in the designated sections.
4. Indicate any medications you are taking, specifying the name of each medication and the condition it is prescribed for in the provided chart.
5. Answer the series of health history questions regarding allergies, past injuries, learning disabilities, substance abuse, and significant diseases, providing explanations where necessary.
6. Complete the authorization section by providing your signature, the name of a contact person, their phone numbers, and address. Ensure that the signature reflects your understanding of the document.
7. If applicable, have the physician complete Part II of the form, including their signature, printed name, date of exam, address, and telephone number.
8. Once all sections are completed, carefully review your entries for accuracy, save your changes, and prepare to download, print, or share the form as needed.

Complete your Bucknell University Medical Information Form online today to ensure your study abroad experience is well-supported.