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  • Dodea Form 1 Shsm H-1-1 2017

Get Dodea Form 1 Shsm H-1-1 2017-2026

Ng the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 4800 Mark Center Drive, Alexandria, VA 223503100.

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How to fill out the DoDEA Form 1 SHSM H-1-1 online

Filling out the DoDEA Form 1 SHSM H-1-1 is crucial for providing essential health information about a student enrolling in Department of Defense Education Activity schools. This guide will walk you through each section of the form to ensure that it is completed accurately and efficiently.

Follow the steps to complete the form online.

  1. Click 'Get Form' button to obtain the form, allowing you to access it easily in your preferred document editor.
  2. Begin by entering the student's name in the designated fields under the 'NAME of Student' section. Ensure you include the last name, first name, and middle initial as applicable.
  3. Select the student's grade from the provided options to indicate their current enrollment status.
  4. Indicate the student's gender by checking the appropriate box for 'Female' or 'Male'.
  5. Enter the date of birth in the specified format (mm/dd/yyyy). This will help verify the student's age eligibility.
  6. Move on to the 'MEDICAL HISTORY' section. For each condition listed, type an 'X' in the box next to any that apply, and provide additional information or explanations where prompted.
  7. If the student has any allergies, specify the type and include the name of the allergen if applicable.
  8. In the 'MEDICATION' section, specify if the student will need medications during school hours and outline any conditions requiring emergency medication.
  9. Identify any special health care needs, restrictions, or care procedures required during the school day in the designated sections.
  10. Finally, have the sponsor or parent/guardian sign and date the form, ensuring a primary phone number is provided for contact.
  11. After completing the form, ensure that any necessary documents or additional pages are attached. Save your changes before finalizing.
  12. You can then download, print, or share the completed form as needed for submission.

Complete the DoDEA Form 1 SHSM H-1-1 online today to ensure your student’s health information is accurately documented.

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