Follow the steps to fill out the student health history form online.

1. Click the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Enter the student’s name, date of birth, current mailing address, school name, grade, and home phone number in the respective fields.
3. Provide the name and contact number of your student’s physician or clinic to ensure adequate health management.
4. Review and check the appropriate medical concerns your student may have, including diabetes, hearing problems, allergies, asthma, and any other pertinent health issues.
5. If your student has no medical concerns at the present time, ensure you check the corresponding box provided on the form.
6. Indicate if you would like to be contacted by School Nurses to create or update a Health Care Plan by checking the appropriate option.
7. List any medications your student is currently taking for the medical conditions you have indicated.
8. Read the permission statement regarding access to emergency medical treatment and ensure you understand the consent provided.
9. Sign and date the form to confirm that the information provided is accurate and complete.
10. Once completed, save your changes. You can then print or download the form to hand deliver or mail it to your student's school.

Start filling out the UT Box Elder School District Student Health History online to ensure your student's health needs are met.