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Student health record form 14 2025

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The document is a health record form for students at La Pietra - Hawaii School for Girls. It includes sections for personal information, medical status, tuberculosis examination, dental examination, immunizations, and physician's examination. The form is designed to collect comprehensive health data about students to ensure their well-being and compliance with health regulations.

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Click ‘Get Form’ to open the student health record form 14 in the editor.
Begin by entering the student's name, birthdate, and gender in the designated fields. Ensure accuracy as this information is crucial for identification.
In the medical status section, check any relevant allergies or conditions such as asthma or diabetes. This helps provide a comprehensive health overview.
Complete the tuberculosis examination section by filling in the Mantoux test results and date. If applicable, include physician details for verification.
For immunizations, list all vaccines received along with their dates. This ensures compliance with health regulations and school requirements.
Finally, review all entries for completeness and accuracy before saving your document. Utilize our platform’s features to easily share or print the completed form.

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What is considered a health record?

A personal health record (PHR) refers to the collection of an individuals medical documentation maintained by the individual or a caregiver in cases where patients are unable to do so themselves. This personal information includes details such as: The patients medical history. Applicable diagnoses.

What is your health record?

My Health Record gives you access to key health information, such as: your COVID-19 information, including vaccinations and pathology in one place. pathology and diagnostic imaging reports. prescription and dispensing information. hospital discharge summaries.

What qualifies as a medical record?

medical test results (from lab tests, X-rays, etc.) medicines, including doses and how often the medicine is taken. allergies to medicines (both prescription and nonprescription), insect stings and bites, food, and any other substances (such as latex) surgeries and hospitalizations.

What are the three types of health records?

There are three types of medical records commonly used by patients and doctors: Personal health record (PHR) Electronic medical record (EMR) Electronic health record (EHR)