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STUDENT HEALTH INFORMATION FORM - oceducation.org 2025

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The document is a Student Health Information Form that collects essential health details about a student, including personal information, emergency contacts, immunization records, health conditions, allergies, and medication requirements. It aims to ensure the safety and well-being of the student during school or camp activities.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the student's full name, age, and contact numbers in the designated fields. Ensure accuracy for effective communication.
Fill in the birth date and emergency contact information. Specify a relationship to the student for clarity.
Provide details about the student's physician and insurance carrier, including policy number for any medical needs.
Indicate if all required immunizations are up to date, and provide the last date given for Tetanus.
Address health conditions by explaining any special treatments or restrictions needed, including infectious diseases.
List any food allergies or restrictions, bee sting allergies, and environmental allergies with detailed explanations.
Document prescription medications clearly, ensuring they are in original packaging as per guidelines.
Select over-the-counter medications that are acceptable for administration by checking YES or NO next to each option.
Utilize the nurse notes section for any additional information that may be relevant to the student's health needs.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Which of the following is not protected by FERPA?

FERPA and HIPAA regulate privacy and the exchange of specific types of information. The work of healthcare providers, school personnel, and others often intersects with FERPA and HIPAA. Its important to understand these laws and know when they apply.

Is health information protected by FERPA?

Student health records maintained by a school or school employees, such as treatment records, IEP assessments, or immunization documents, are part of the education file in almost all cases.37 FERPA does not treat health and mental health records in a minors education file differently than it does any other information

Do I have to disclose medical information to my childs school?

Student records covered under FERPA are excluded from HIPAA. If schools bill Medicaid for health services, they must follow HIPAA guidelines for those transitions, but the student health information maintained in education records is still excluded from HIPAA coverage.

What is a health Dental Enrollment Form?

This enrollment form allows individuals to apply for group health and dental coverage. Its designed for employees to provide necessary personal information, dependent details, and coverage choices.

Is FERPA a healthcare regulation?

HIPAA, specifically, prohibits the school from getting the medical records directly from your childrens physician -- the school has to ask you. You then have the right to refuse and keep the information private, but then you cannot enroll your children in that school. Its a trade-off, but you have the full decision.