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Click ‘Get Form’ to open the sulanama in the editor.
Begin by entering your personal information. Fill in your last name, first name, middle name, marital status, sex, age, and date of birth. Ensure accuracy as this information is crucial for your health record.
Provide your home address and contact numbers. This helps the university reach you if necessary.
Complete the family history section by indicating whether your parents are living or deceased and provide relevant details about any health issues they may have had.
In the personal history section, list any past medical conditions along with their ages at onset. Be thorough to ensure a comprehensive health assessment.
Answer the questions regarding current health issues honestly. This includes checking symptoms like headaches or dizziness.
For female students, complete the menstruation section accurately to provide essential health information.
Finally, review all entries for accuracy before signing and submitting the form either online or in person at the U.P. Health Service.
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