| Student Health
/ Medical Form |
| 1. |
This medical form is designed to help insure
the health and well-being of our students
as well as that of their patients and clients. |
| 2. |
Completion of the medical form (immunization
record, report of medical history, family
and personal health history, and a physical
examination) is required. In the Immunization
Record portion of the form, Sections A &
B (with the exception of the "Meningococcal)
section) must be completed. Section C is optional,
but you are encouraged to list any vaccinations
you have received. |
| 3. |
This form must be completed and returned
by July 1 prior to entering fall semester
2 of the program. Submit forms to:
Andrea Kennedy
MLT Program Director
Southwestern Community College
447 College Drive
Sylva, NC 28779 |
| 4. |
Any questions concerning this form should
be addressed to Andrea Kennedy at 828.586.4091,
ext. 312 or 800.447.4091, ext. 312. |
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