Get School Health History Form - Cambridge Public Schools

Filling out the School Health History Form is an essential step in ensuring your child's health and safety at school. This guide provides clear and concise instructions on how to complete the form online, ensuring you provide all necessary information accurately.

Follow the steps to successfully complete the form online.

1. Locate and press the ‘Get Form’ button to download the School Health History Form. Open the form using an appropriate editor to begin filling it out.
2. Begin by entering your child's basic information in the designated fields. This includes their name, date of birth, gender, grade, and room number.
3. Complete the parent/guardian/caregiver information section by providing details about both parents or caregivers, including names, email addresses, and phone numbers for home, cell, and work.
4. List emergency contacts. Provide the names, relationships to the child, and phone numbers of two emergency contacts.
5. Move to the medical history section. First, indicate if your child has any health concerns by checking 'Yes' or 'No', and include additional details if applicable.
6. Answer whether your child can participate in all school activities, listing 'Yes' or 'No' as appropriate.
7. Indicate any allergies your child may have, including whether they carry an , by checking the relevant boxes and providing any additional details.
8. In the medication section, confirm if your child is currently taking any medications and detail which ones if you responded affirmatively.
9. Provide the dates of your child's last doctor and dental visits.
10. Fill in the provider information, including the name of your child's primary care provider, dentist, and any other relevant healthcare providers.
11. Indicate your child's health insurance type, selecting from available options, and answer whether you need assistance finding healthcare providers or insurance.
12. Complete the consent section. Indicate whether the school nurse has permission to share information with school staff and healthcare providers, and sign the form with your printed name and date.
13. After completing all sections of the form, save your changes. You can download, print, or share the form as needed before submitting it to your child’s school nurse.

Complete the School Health History Form online today to ensure your child's health and safety at school.