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VIRGINIA MILITARY INSTITUTE
LEXINGTON, VIRGINIA 24450-0304
INSTITUTE PHYSICIAN
VMI HOSPITAL
Phone 540-464-7218
Fax 540-464-7707
Virginia Relay/TDD 711
Health Update
This form is to insure that VMI provides you with adequate medical assistance on your return and
is not used for readmission evaluation.
Cadet Name:_____________________________________________________________________
Returning Semester:____________________ Major:__________________________
Since you left VMI, have you had any significant medical or psychological problems?
Yes______ No_______
If yes, please describe briefly the condition and list any medication you take.
Please send any medical record related to health problems to:
David L. Copeland, M.D.
VMI Infirmary
488 Institute Hill
Lexington, VA 24450
Fax: 540-464-7707
Cadet Signature:_____________________________________________ Date:______________
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Health Update VIRGINIA MILITARY INSTITUTE This form is (Virginia Military Institute)

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Completed 1 September 2020

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