Student Health History Form

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Many schools already have a system for collecting (gathering) student health history information. However, have you ever found out about a new student a couple of months after their start date or a new student registered but you weren't available to talk to them? Or maybe a student stops by your office to let you know of a recent medical diagnosis, you confirm with parents via phone but prefer to have something in writing too? If so, us this 100% editable Google form! Email a link to complete the form to parents and/or make it available on your school webpage. Then, use this information to update your digital records (Skyward) and paper records.

This tool is also an easy way to start collecting data for your office. Each year I offer an End-Of-Year (EOY) report for the School Board, school administration, and/or supervisor. I prefer to include the exact % of enrolled students with a known (diagnosed) health concern. This form is one way to start gathering information to confirm.

This is a Google Form; you will upload this to your own Google drive and then be able to make any edits you need to. Make this form specific to your school. Remember to set your email notifications so you know when a parent has completed the form. Also, Google forms are great because you can sort all of your responses, make pie charts and graphs etc.


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