Doe medical form

    • ChiLD & ADOLEsCEnThEALT h ExAMinATiOn FORM Print Clearly

      Does the child/adolescent have a past or present medical history of the following? ... ChiLD & ADOLEsCEnThEALT h ExAMinATiOn FORM NYC DEPARTMENT OF HEALTH & MENTAL HYGIENE — DEPARTMENT OF EDUCATION Please Print Clearly NYC ID (OSIS) TO …

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    • [PDF File]VACCINE MEDICAL EXEMPTION - Indiana

      https://info.5y1.org/doe-medical-form_1_a7cee8.html

      VACCINE MEDICAL EXEMPTION State Form 54648 (4-11) Indiana State Department of Health, Immunization Division INSTRUCTIONS: 1. This form for any child in grades K – 12 who is unable to receive a vaccine required for school entry due to a medical contraindication.

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    • [PDF File]STATE OF HAWAII

      https://info.5y1.org/doe-medical-form_1_aa561c.html

      I agree that the DOE and the DOH their employees or agents, including nurses assigned by the DOE pursuant to a written agreement, shall not incur any liability as a result of any injury arising from the administration of the emergency rescue medications or daily, routine, scheduled medications specified on …

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    • [PDF File]MARYLAND STATE DEPARTMENT OF EDUCATION Office of …

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      MARYLAND STATE DEPARTMENT OF EDUCATION Office of Child Care MEDICAL REPORT FOR CHILD CARE. E. PLEASE READ: This person to be evaluated either provides or plans to provide child care services, lives in a home where child care is

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    • [PDF File]Department of Education Student S HealtH RecoRd

      https://info.5y1.org/doe-medical-form_1_ea1ab8.html

      Health History Comments: Include Referrals and Reports.Recommendation for significant findings. (Please Print) STATE OF HAWAI‘I, DEPARTMENT OF EDUCATION, FORM 14, RS 18-0811, March 2018 (Rev. of RS 15-1154)

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    • [PDF File]Agency Stamp STAFF HEALTH FORM - New York City

      https://info.5y1.org/doe-medical-form_1_43c607.html

      STAFF HEALTH FORM Initial employment and every 2 years, a health examination is required for all teaching and non-teaching staff members, including volunteers and students who regularly associate with children. Attach any additional documentation to this form.

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