2019 PCS Student Health Form - UConn Pre-College Summer-2025

1. Click ‘Get Form’ to open the 2019 PCS Student Health Form in our editor.
2. Begin by entering the participant's last name, first name, middle initial, and date of birth in the designated fields. Ensure accuracy as this information is crucial for identification.
3. Fill in the home address, city, state, and zip code. Provide contact numbers for both the parent/guardian and any additional contacts in case of emergencies.
4. Complete the health insurance section by entering the insurance company name, ID number, and guarantor details. This ensures that your child has coverage during their participation.
5. Indicate any medical conditions or allergies by checking 'Yes' or 'No' for each listed condition. Provide explanations where necessary to inform staff of any special needs.
6. In the consent section, read through carefully before signing. This grants permission for medical treatment if needed during the program.
7. Once all fields are completed and signed, upload the form directly to your student’s enrollment profile using our platform’s upload feature.

Start filling out your form today with our easy-to-use editor!