Health Form and Physical Exam - Yale University - cis yale 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your personal information, including your last name, first name, email, and cell phone number. Ensure accuracy for effective communication.
3. Indicate your Yale University affiliation by checking the appropriate box for undergraduate or graduate/professional student. If applicable, specify your department or school.
4. Complete the gender section by selecting the option that best describes you. Provide your date of birth in the specified format.
5. Fill out the emergency contact details, including names and phone numbers for both home and work contacts.
6. In the physical examination section, ensure your healthcare provider fills out height, weight, BMI, blood pressure, and pulse accurately.
7. Answer all allergy-related questions truthfully. If you have allergies or are on medication, list them clearly in the provided fields.
8. Finally, ensure that your healthcare provider signs and dates the form after completing their evaluation.

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