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How to fill out the Student Health Services International Student Form - Benedictine online
Completing the Student Health Services International Student Form is a vital process for your enrollment at Benedictine University. This guide will provide you with step-by-step instructions to ensure that you accurately fill out the required form online while maintaining confidentiality and compliance with the University's health service requirements.
Follow the steps to complete the form seamlessly.
- Click the ‘Get Form’ button to access the form and open it in your preferred digital document management tool.
- Indicate your term of entry by selecting either Fall or Spring, followed by filling in the year of your entry. Specify your residential status as either Resident or Commuter.
- Select your gender by choosing either Male or Female, and indicate your status as an Undergraduate or Graduate student.
- In the personal history section, enter your full name, Benedictine ID, local U.S. address, phone number, city, state, email address, and zip code. Be sure all information is entered in English.
- Provide your date of birth and the names and contact numbers of your parents, guardian, or spouse. Additionally, include the name and telephone number of a contact person for emergencies.
- In the medical history section, answer the following questions regarding allergies, medications, illnesses, disabilities, and any major illnesses you have experienced in the past. Fill in any required details.
- For family history, disclose relevant information regarding the health status of your immediate family members, including age and occupation, and indicate causes of death if applicable.
- Review the consent for emergency treatment section. Confirm your understanding and consent by signing and dating the form. A signature from a parent or guardian is required if you are under the age of 18.
- Complete the international immunization record by providing your immunization history, ensuring you adhere to the listed requirements and confirming with your healthcare provider's signature and stamp if necessary.
- Finally, review all the information you have entered for accuracy. Once completed, save your changes, and you may choose to download, print, or share the completed form as needed.
Ensure your health information is up to date—complete your form online today.
International students can obtain health insurance through various options, including school-sponsored plans and private insurers. Benedictine University provides resources to help students navigate these choices and enroll in suitable plans. Make sure to complete the Student Health Services International Student Form - Benedictine to assist in managing your health insurance needs effectively.
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