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Click ‘Get Form’ to open the Morgan State Health Form in the editor.
Begin by entering today’s date at the top of the form. Then, fill in your last name, first name, middle initial, and student ID number.
Indicate your gender by checking the appropriate box and provide your home address, marital status, city, state, zip code, main telephone number, date of birth, and place of birth.
In the emergency contact section, list a contact's name, address, relationship to you, and their phone numbers.
Complete the health insurance information section with your provider's details including company name and policy number.
Answer all personal history questions honestly. If you answer 'Yes' to any question regarding health issues or medications, provide additional comments in the remarks section.
Fill out the social history section detailing your habits related to tobacco, alcohol consumption, exercise frequency, and sexual activity.
Document mandatory immunizations with dates as required before submission.
Finally, sign and date the form at the bottom to confirm its accuracy before submitting it to the Student Health Center.
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