Health Form Submission Guide for Stony Brook University
This health form is essential for students attending Stony Brook University. It includes questions about medical history, allergies, and emergency treatment authorization. Complete and submit it along with your immunization records for participation in university programs.
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How do I fill this out?
To fill out this health form, begin by entering your child's personal details at the top. Then, carefully read each question regarding medical history and answer accordingly. Finally, ensure a parent or guardian signs the consent section for treatment authorization.

How to fill out the Health Form Submission Guide for Stony Brook University?
1
Enter personal information such as name, address, and contact details.
2
Indicate any medical history by checking relevant boxes.
3
List any current medications and previous surgeries.
4
Provide permission for treatment from guardians.
5
Sign and date the form before submission.
Who needs the Health Form Submission Guide for Stony Brook University?
1
Parents of new students need this form to enroll their child in university activities.
2
International students require this form for health assessments.
3
Students participating in sports must submit the health form to ensure safety.
4
Students seeking accommodations for health issues need this form for eligibility.
5
Health practitioners require this form to understand the student's medical history.
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What are the important dates for this form in 2024 and 2025?
Important dates for submitting the health form for 2024 and 2025 will be provided by Stony Brook University. Generally, submissions are due a few weeks before the start of the academic year. Please check the university's official communications for specific deadlines.

What is the purpose of this form?
The purpose of this health form is to ensure that Stony Brook University has a comprehensive overview of a student's medical history. It allows the university to prepare for any health emergencies and provide necessary care during university programs. The form also ensures that students meet health requirements for participation in various activities.

Tell me about this form and its components and fields line-by-line.

- 1. Student Family Name: The last name of the student.
- 2. First Name: The first name of the student.
- 3. Address: Residential address including street and apartment number.
- 4. Date of Birth: The student's birth date.
- 5. Medical History: Section to indicate any past or current illnesses and conditions.
- 6. Emergency Contact: Details of a parent or guardian to contact in emergencies.
- 7. Parent / Guardian Signature: Signature providing consent for treatment.
- 8. Practitioner Stamp: Stamp from a medical professional confirming examination.
What happens if I fail to submit this form?
Failure to submit this form may result in the student being deemed ineligible for certain programs and services at Stony Brook University. Without this essential information, the university cannot adequately respond to health emergencies or provide necessary accommodations.
- Ineligibility for Activities: Students may not be able to participate in sports or events without this form.
- Health Risks: Health concerns may go unaddressed without proper documentation.
- Enrollment Delays: Delays in enrollment processes may occur if health forms are missing.
How do I know when to use this form?

- 1. New Student Enrollment: Required for all new students entering the university.
- 2. Sports Participation: Mandatory for students wishing to join athletic teams.
- 3. Health Screening: Needed for health assessment and treatment plans.
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