Health Information

Student InformationHealth Information

Please Enter Full Student Name
Male Female Please Select Gender
Please Enter Name of Doctor
Please Enter Address
Please Select Telephone
Please Enter Birth Certificate *
Please Enter Health Card #
Please Enter Card Expiry Please Enter Card Expiry
Please Enter Person Name
Please Enter Relationship
Please Enter Telephone Number
Medications Food Others None Please Select Child Allergic
Yes No Please Select Child Take Medication Regularly
Yes No Please Select Epi Pen
Yes No Please Select Child Previous History
Yes No Please Select Child Wear Glasses
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Hello, Parents. We are pleased to announce the launch of our new parent portal. To access the parent portal, please visit www.portal.unionvillecollege.com