Dh 3040 physical forms
[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, …
[PDF File]Student Name SLC Student ID Number DOB Previous School ...
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DH 3040, 6/02 (Obsoletes previous editions which may not be used) Stock Number: 5744-000-3040-2 STATE OF FLORIDA School Entry Health Exam To Parent/Guardian: Please complete and sign Part I — Child’s Medical History. State law for school entry requires a health examination by …
[PDF File]Page 1 of 2 STATE OF FLORIDA School Entry Health Exam
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STATE OF FLORIDA School Entry Health Exam To Parent/Guardian: Please complete and sign Part I — Child’s Medical History. State law for school entry requires a health examination by …
[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]OFFICE POLICIES - Kids' Medical Care
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patients may receive one dh 3040 school physical form annually. additional dh 3040 school physical forms = $5.00 fee each all other forms (except dh 680) = $10.00 fee each all letters = $40.00 fee and up patient requests for mailing will incur a $1.00 fee and up. request for copies of medical records will be charged pursuant to f.a.c. 64b8-10.003.
[PDF File]STATE OF FLORIDA School Entry Health Exam
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STATE OF FLORIDA School Entry Health Exam. Page 1 of 2. To Parent/Guardian: Please complete and sign Part I — Child’s Medical History. State law for school entry requires a health examination by a legally qualified professional.
[PDF File]Guide for Student Entry Health Exam 7-02
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Guide for Completing the School Entry Health Exam (DH 3040 Form) DH 3040, 6/02, Stock Number: 5744-000-3040-2 General Information Purpose: The School Entry Health Exam has been designed to meet the requirements for the school entry health examination, as mandated by s.1003.22, F.S. (formerly s. 232.0315, F.S.) for student entry into Florida
[PDF File]Florida Department of Health
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Florida Department of Health Completing the School Entry Health Exam Form (DH3040-CHP-07/2013) General Information Purpose: The School Entry Health Exam has been designed to meet the requirements for the school entry health examination, as mandated by …
[PDF File]ENROLLING IN A FLORIDA PUBLIC SCHOOL
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The physical examination must be performed by a health care provider licensed to perform physical exams and must be completed within the past 12 months (This is not an annual exam.). The school entry health exam (form DH 3040) is a requirement for students in
[PDF File]STATE OF FLORIDA Page 1 of 2 School Entry Health Exam
https://info.5y1.org/dh-3040-physical-forms_1_e0bc79.html
DH 3040, 6/02 (Obsoletes previous editions which may not be used) Stock Number: 5744-000-3040-2 STATE OF FLORIDA School Entry Health Exam To Parent/Guardian: Please complete and sign Part I — Child’s Medical History. State law for school entry requires a health examination by …
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