Get Click In The Space Below To Complete This Form On-line,(use The Tab Key To Move To Next Blank)

Completing the student health form online is an essential step in managing your health documentation. This guide will provide you with clear, step-by-step instructions on how to fill out the form effectively and accurately.

Follow the steps to fill out the form successfully.

1. Click the ‘Get Form’ button to access the form and open it in your browser.
2. Enter your general information, including your name, birth date, home address, and phone number in the respective fields provided.
3. Choose your gender by selecting the appropriate option (Male or Female) and provide your student identification number (T#).
4. Indicate your marital status by selecting 'Single,' 'Married,' or 'Divorced'.
5. Fill out the emergency contact information section with a name and phone number.
6. List the name and phone number of your family physician in the designated fields.
7. Review the past medical history section. Answer 'Yes' or 'No' to each health condition listed. If applicable, provide details about frequency and severity.
8. Complete the current medical history section, indicating any allergies or prescribed medications, and any concerns regarding physical exercise.
9. Fill out the immunization requirements section, providing dates and signatures or proof where necessary.
10. If under 18, ensure a parent or guardian co-signs the permission for treatment section.
11. After filling out all required sections, save your changes, and you can download, print, or share the completed form as needed.

Complete your health form online today to ensure your records are up-to-date.