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1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Program Name and Dates at the top of the form. This helps identify your specific study abroad program.
3. Fill in your Participant’s Name accurately, as this will be used for all official documentation.
4. Complete the emergency contact section by providing a name, relationship, and phone numbers for both home and work.
5. In the Medical Insurance section, list your insurance company and policy number. Ensure you attach a copy of your medical insurance card.
6. Respond to questions regarding pre-existing conditions, treatments, and dietary restrictions by checking 'Yes' or 'No' and providing explanations where necessary.
7. For the Medical Self-Assessment section, answer each health-related question truthfully by checking the appropriate boxes.
8. Finally, sign and date the form at the bottom. If under 18, ensure a parent or guardian also signs.

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