Student Health Services Letterhead for AD3 (002) 2025

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  1. Click ‘Get Form’ to open the Student Health Services Letterhead for AD3 (002) in the editor.
  2. Begin by entering your Personal Information. Fill in your Student ID, name, date of birth, and contact details accurately.
  3. Complete the Medical History section by detailing any chronic illnesses, medications you are taking, and allergies.
  4. If you are under 18, ensure that a parent or legal guardian signs the Consent for Treatment of Minors section.
  5. Fill out the Certificate of Immunization section with required immunization dates and ensure it is signed by a healthcare provider.
  6. Complete the Tuberculosis Screening section as instructed and have it validated by your healthcare provider's signature.
  7. Review all entries for accuracy before submitting your form online via the provided secure website link.

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