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Edit, Download, and Sign the Health Declaration Form for UP Students 2020-2021

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How do I fill this out?

To fill out this form, ensure that you have all your personal and medical information ready. Use black or blue ink to clearly write your details. Review the questions thoroughly before submitting the form.

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How to fill out the Health Declaration Form for UP Students 2020-2021?

  1. 1

    Gather your personal information including your name, date of birth, and contact details.

  2. 2

    Complete the medical history section by answering each question honestly.

  3. 3

    Include a recent 2"x2" photo as per the requirements.

  4. 4

    Review your form for any missing information.

  5. 5

    Sign and date the form before submission.

Who needs the Health Declaration Form for UP Students 2020-2021?

  1. 1

    Incoming students needing to complete the admission process.

  2. 2

    Students with pre-existing medical conditions for record-keeping.

  3. 3

    Parents or guardians of minors who require consent for healthcare.

  4. 4

    Students participating in sports needing medical clearance.

  5. 5

    International students needing to fulfill health requirements.

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Editing this PDF on PrintFriendly is easy. You can click on any field to modify your entries, ensuring accuracy. Make your changes seamlessly and prepare the form for final submission.

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    Open the PDF file in PrintFriendly.

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    Click on the text or field you want to edit.

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    Make your changes directly in the PDF.

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    Once satisfied, review the edits for accuracy.

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    Download the edited PDF for submission.

What are the instructions for submitting this form?

Submit the completed Health Declaration Form via email to healthservice@up.edu.ph. Alternatively, you can physically hand in the form at the university health office located at J.P. Laurel Avenue, Diliman, Quezon City. Ensure that your submission is done before the specified deadline to avoid complications during your enrollment process.

What are the important dates for this form in 2024 and 2025?

The Health Declaration Form must be submitted by the start of the academic year 2020-2021. Check your university’s calendar for specific submission dates. Late submissions could impact your enrollment.

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What is the purpose of this form?

The purpose of the Health Declaration Form is to collect essential health information from incoming students at the University of the Philippines. This form helps ensure that the university is aware of any health conditions that may affect students' well-being or academic performance. Furthermore, the form aids the Health Service in providing appropriate care and support to ensure a healthy campus environment.

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

The form comprises various fields capturing personal, contact, and medical information to provide a comprehensive health overview.
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  • 1. Personal Information: Fields to collect your full name, date of birth, and contact details.
  • 2. Medical History: Questions related to past and current health conditions.
  • 3. Personal/Social History: Information on lifestyle choices such as smoking and alcohol consumption.
  • 4. Consent Signature: Section for you and your guardian to sign for permission.

What happens if I fail to submit this form?

Failure to submit this form may lead to complications in your admission process at the University. It is necessary for ensuring your health and safety while attending school. Without this form, you may not be allowed to enroll in classes.

  • Delayed Enrollment: Not submitting the form on time may postpone your registration.
  • Ineligible for Health Services: You will not be privy to necessary health assessments and services.

How do I know when to use this form?

Use this form when you are an incoming student at the University of the Philippines and are required to submit health information for admission. This form is also necessary for students with pre-existing medical conditions or those requiring special health services.
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  • 1. Admission Requirements: Essential for fulfilling conditions for university enrollment.
  • 2. Medical Documentation: Required for maintaining student medical records.

Frequently Asked Question

How do I fill out the Health Declaration Form?

You can fill out the form by gathering all necessary personal and medical information and completing each section with accuracy.

Can I edit the PDF after downloading?

Yes, you can use our editing tool on PrintFriendly to make changes before downloading.

Is there a section for medical history?

Absolutely, the form includes a detailed section for medical history that must be completed.

How can I submit the filled form?

After completing the form, you can print it or save it for online submission as per the instructions.

What if I have allergies?

You should disclose any known allergies in the medical history section of the form.

Is there a deadline for submission?

Yes, please refer to your university's admission guidelines for specific deadlines.

Do I need a photo with the form?

Yes, a recent 2"x2" or passport-sized colored photo is required.

Can I get help with filling out the form?

Yes, you can seek assistance from student health services if needed.

How is my information protected?

Your information is handled with confidentiality as per data privacy regulations.

What if I make a mistake on the form?

You can easily edit the PDF to correct any mistakes before final submission.

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Health Declaration Form for UP Students 2020-2021

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