求助去FSU的体检表怎么填法？急于大家的帮忙，我看不太明白 [复制链接]

facinatingqi
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电梯直达

楼主

发表于 2005-8-3 00:01:37 |只看该作者 |倒序浏览

总共有2页
第一页是
medical history, of course no
personal and family history of course no
family physician : i haven't
这应该是自己填的吧
第二页我看不太懂请高手帮忙解释
all students born on or after1/1/57need to provide proof or two measles and one German Measlesshowing a positive titer must be received in our office prior to registration. Stuedents born prior to 1/1/57 need to complete only the front of this form and Section B on the back. Section A this box is to be completed by medical or authorized personnel only immunizations in order to be considered official, this section or any additional records forwarded to us must meet tow out of the four following requirements:signature of authorizing person, license number of authorizing person, letterhead, office stamp with complete address. all records must also include the student's name and front cover of all documents. any changeink/handwriting or use of white-out must be completely reauthorized. we reserve the right to interpret the validity of all documents submitted
required DATE                      Date
1st MMR ---/---/--- OR 1st Measles--/--/--
2ND MMR  ---/---/---    2nd Measles--/--/--
                  German Measles--/--/--
All students must either have immunization for meningococcal meningitis and Hepatitis B OR complete the waiver below in Section B
  Meningococcal Meningitis---/---/---
Hepatitis B  dose1:----/----/----
         dose2:----/----/---
         dose3----/----/----
  recommended 可以不做是吗
我不知道应该怎么个体检法？那日期是填什么啊？医生填吗？一点也不知道，SIGH

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facinatingqi
UID: 107176

初级会员

Rank: 3 Rank: 3

声望: 0
寄托币: 636
注册时间: 2002-8-14
精华: 1
帖子: 4

沙发

发表于 2005-8-3 00:07:09 |只看该作者

下面的
MEDICAL OR AUTHORIZED SIGNATURE DATE LICENCE OR OFFICE STAMP WITH ADDRESS (MANDATORY)
是让医生签名日期盖章吗？
SECTION B
i have recieved the required information regarding the risks of acquiring bacterial meningitis and hepatitis b and the benefits of receiving immunizations to reduce those risks. i also understnad that i am required to receive these immunizations or actively decline these immunizations
i decline receiving Menomune vaccine for bacterial meningitis. i acknowledge receipt of information regarding this disease.
i decline receiving Hepatitis B vaccines. I acknowledge receipt of information regarding this disease.
i have provided proof of these immunization(see above)

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