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Archived from http://www.antioch-college.edu/Admissions/admit/pdfs/StudentHealthForm0607.pdf via the Internet Archive Wayback Machine (captured 2006-09-01).
WINGFIELD HEALTH CENTER ANTIOCH COLLEGE STUDENT HEALTH FORMEntering students are required to provide the following medical history. Students must also have a physical exam and immunizationhistory completed and signed by their health-care provider. This information is for our Health Center’s use only to aid in providingyou health care and will not be released without your knowledge and consent. …
