Boarding School Student Medical Data Form
Student Information
Full Name
Date of Birth
Gender
Male
Female
Other
Grade/Class
Address
Guardian Information
Guardian Name
Relationship
Contact Number
Medical Information
Blood Group
Allergies
Current Medications
Chronic Health Conditions
Family Physician Name
Physician Contact
Emergency Procedure Instructions
Immunization Record
List Immunizations (e.g., Hepatitis B, Polio, MMR, etc.)
Additional Notes
Other Relevant Medical Information