Please return the completed Student Health Form (including your immunization history), the 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the designated fields, including your name, date of birth, and preferred pronoun. Ensure accuracy as this information is crucial for your health records.
3. Fill out the health insurance section. If you do not have health insurance, check the appropriate box provided.
4. Complete the medical history section by answering questions regarding medications, allergies, and any past hospitalizations. Be thorough to provide a complete picture of your health.
5. In the immunization section, ensure that all required vaccinations are documented. If applicable, attach proof of previous diseases or vaccinations as specified.
6. Once all sections are filled out, review your entries for accuracy before signing and dating the form at the bottom.
7. Finally, submit the completed form electronically through our platform or print it out for physical submission to the NVU-Lyndon Health and Counseling Center.

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