Student Medical Information Form
विद्यार्थी स्वास्थ्य सूचना फॉर्म
Lets parents share a student's health information such as allergies and emergency contacts so the school can respond properly.
Download Student Medical Information Form
What the student medical information form is used for
Use it to capture student name, class, date of birth, blood group, known allergies, regular medication (if any) and related details in one standard format. This is an information form completed by parents; it is not a medical certificate. Keep the records confidential.
Who should use it
- School principals and administrators
- Accountants, clerks and store keepers in schools
- Management committees and inspection teams
Key features
- 8 labelled field groups covering Student Name, Class, Date of Birth, Blood Group and more.
- Signature lines for the people who complete or approve it.
- Clean A4 portrait layout designed to print on a standard office printer.
- Contains a medical-use disclaimer and blank sections for any medical details.
Frequently asked questions
What details does the Student Medical Information Form include?
It includes Student Name, Class, Date of Birth, Blood Group, Known Allergies, Regular Medication (if any), Family Doctor Name & No., Emergency Contact 1 and more, laid out so the form can be filled by hand or typed.
Can I edit the Student Medical Information Form before printing?
Yes. Download the Word (.docx) version, add your name, logo or extra fields and then print or save it as PDF. The PDF is best when you only need to print and write by hand.
Is the Student Medical Information Form available in Hindi?
Yes. Both an English and a Hindi version are provided in PDF, DOCX format where listed on this page.
Is the Student Medical Information Form an official medical document?
No. It is a general template for drafting or record-keeping. It does not certify that anyone is ill or fit, and any medical statement, signature, registration number and stamp must come from a qualified, authorised medical practitioner. Always give truthful information.
Last updated: 11 October 2026