Dh 3040 physical form pdf
[PDF File]School Entry Health Requirements
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School Entry Health Examination (School Physical) Form DH 3040 (Physical Examination dated within 12 months prior to registration) Florida Certificate of Immunization (Immunization Record) Form DH 680 (Must be used to document immunizations required for entry and attendance in Florida Schools) Pre-K through 6th grade • 5 DTP/DTaP
[PDF File]Florida School Entry Health Requirements
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Florida School Entry Health Requirements School Entry Health Examination (School Physical) Form DH 3040 (Physical exam must have been performed within 12 months prior to registration) Florida Certificate of Immunization (Immunization Record) Form DH 680 (Must be used to document immunizations required for entry and attendance in Florida
[PDF File]School Health Entry Requirements 2018-2019
https://info.5y1.org/dh-3040-physical-form-pdf_1_23871b.html
physical examination may not attend school until they can provide the necessary information required on the Florida form DH 3040. An appointment card from a local physician or clinic showing that a physical examination is scheduled to be completed at a later date is not acceptable. For Head Start Only – Physical evaluation must
[PDF File]DH Form 3040 Questions & Answers - Volusia County Schools
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DH Form 3040 Questions & Answers R: 01/08/03 4 Answer: The School Health Physical Exam Form, DH 3040, was developed as the school entry physical exam record. It is color coded for ease in retrieving the form from the child's Student Cumulative Record. Historically, it has been the School Health Office position that the
[PDF File]STATE OF FLORIDA Page 1 of 2 School Entry Health Exam
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the health care provider. The original completed DH 3040 Form should be given to the parent to take to the school to provide information and to document that this requirement is met. Directions for completing the School Entry Health Exam Form Page 1: The health history is to be filled in by the parent or interviewer in the provider’s office ...
[PDF File]Page 1 of 2 STATE OF FLORIDA School Entry Health Exam
https://info.5y1.org/dh-3040-physical-form-pdf_1_be81ae.html
(This form will be stored in the child’s Cumulative Health Folder and may be accessed by both school and health personnel.) Recommendations (Attach additional sheet if necessary): (Please Check One) This child may participate fully in school activities including physical education.
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