Application – Student Health Form

M2 Medical Form
  • PARTICIPANT DETAILS
  • HEART
  • RESPIRATORY
  • DIABETES
  • EPILEPSY
  • ALLERGIES
  • OTHER
  • MENTAL HEALTH
  • ADDITIONAL DETAILS
  • MEASURING UP
  • CONSENT
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Application - Student Health Form

Dear Parents,

Please complete this form fully and honestly.  Medical information and anything you tell us about behaviour or other issues is used to help us keep your child safe and to give them the best experience possible during their time at GISS.   This information is essential to enable us to provide appropriate medical help and support, if required.  If we find that information has not been given correctly, we reserve the right to refuse participation.

As per our Terms & Conditions and our Privacy Policy we treat the information you give us in the strictest confidence and share it with our agents, when required, for your child’s wellbeing.

This form needs to be completed and submitted all at once; you cannot save and return to it.  In order to complete this form, you will need:

  • Doctors name and telephone number
  • Details of any medication currently being taken by the participant (name of medicine, dose and frequency of dose).
  • Details of medical history including, if you have it, the last Tetanus vaccination

If you have any changes after having submitted this form then please update the GISS office in writing.

Please do contact us if you have any questions when completing this form and we will be happy to support:  giss@gordonstoun.org.uk  +44 1343 837821

Thank you.

STUDENT DETAILS
Student Name
Student Name
First
Last
Gender (for residential use)