ENROLLMENT PREREQUISITE HEALTH FORM Preview on Page 1

ENROLLMENT PREREQUISITE HEALTH FORM 2026

The document is an Enrollment Prerequisite Health Form from the Center for Health at Felician University, which must be completed and submitted by all students before starting classes or moving into residence halls. It includes sections for general information, personal and family health history, a physical examination, tuberculosis testing requirements, meningococcal vaccination information, and immunization records. The form emphasizes the importance of health documentation and compliance with state laws regarding vaccinations.

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Click ‘Get Form’ to open it in the editor.
Begin with Part I: General Information. Fill in your major, entry date, and personal details such as your name, last four digits of your SSN, marital status, and contact information. Ensure accuracy as this information is crucial for your records.
Move to Part II: History. Document any previous hospitalizations, surgeries, and current medications. Be thorough in listing allergies to ensure your health needs are met.
In Part III: Physical Examination, have a licensed healthcare provider complete the findings section. This includes height, weight, and various health assessments. Make sure they sign and date the form.
Complete Parts IV to VI regarding tuberculosis testing and immunizations. Attach necessary documentation as specified for each requirement.

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2016	4.8 Satisfied (166 Votes)
2011	3.9 Satisfied (52 Votes)

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