Student Information
Name of student:
User will type answer here...
Name of parent / guardian:
User will type answer here...
Emergency contact number:
User will type answer here...
Date of birth:
User will type answer here...
Primary physician:
User will type answer here...
Medical Insurance plan:
User will type answer here...
Updating the Student's Records
Upload the Medical Form here:
User will upload a file
Have you added the medical form to the student's records?
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What date was the form submitted?
Following up with Teachers for Special Instructions for Student
Were there special instructions on the form that need to be relayed to the student's teachers?
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If so, which teachers need to be contacted?
User will type answer here...
Have the teachers been updated?
User will pick from this choices