Get Lock Haven University Glennon Health Services Medical Form

Completing the Lock Haven University Glennon Health Services Medical Form online is an essential step for all incoming students. This guide provides a clear, step-by-step approach to ensure that users can fill out the form accurately and efficiently.

Follow the steps to complete the medical form seamlessly.

1. Click ‘Get Form’ button to access the Lock Haven University Glennon Health Services Medical Form and open it in your browser.
2. Begin by filling in the citizen status, entrance date, class status, and personal details such as last name, first name, middle initial, and date of birth. Ensure accuracy in your home address and contact information.
3. Provide emergency contact details, including their phone number and relationship to you.
4. Indicate your major and insurance information. Include the name of the insurance carrier, relationship to the insured, and other necessary details about the insurance company, including contact information.
5. Fill out personal health history. Include all medications you are currently taking, as well as any allergies or reactions you have experienced. Complete the section about previous illnesses and family health history, ensuring you mark 'Yes' or 'No' where required.
6. Consent and authorize treatment by signing the designated areas, including a signature from a parent or guardian if you are under 18.
7. Complete the physical examination section, which must be filled out by your healthcare provider. Ensure that they sign, date, and provide their contact information.
8. Provide details of your immunizations. Ensure all dates are filled out properly and documented as required; attach copies of any supporting documents where noted.
9. Once you have completed all sections of the form, review the information for accuracy. Resolve any outstanding questions or missing information before finalizing.
10. Save changes, download, print, or share the completed form as needed. Remember to keep a copy for your records for future reference.

Complete your Lock Haven University Glennon Health Services Medical Form online today to ensure a smooth transition to your university life.