Doh 3040 physical form
[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]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]FLAGLER COUNTY PUBLIC SCHOOLS 2019-2020 - Flagler …
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Completion of DOH 3040 PHYSICAL FORM. This can be completed by the student’s primary care physician or local clinic. If a student is transferring from a Florida school district, the PHYSICAL FORM used for entry into that Florida district may be used. If student is transferring from OUT of …
[PDF File]Page 1 of 2 STATE OF FLORIDA School Entry Health Exam
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(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.
[PDF File]2019 School and Sports Physicals Resource Guide CRESTVIEW
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Form 3040 for School Physical. Form EL2 for Athletic physical. *Has a Niceville location. 2019 School and Sports Physicals Resource Guide DESTIN Provider Address Phone School Physical Cost Sports Physical Cost Appoint. Required Insurance Accepted Notes Emerald Coast Chiropractic
[PDF File]State of Florida Department of Children and Families CHILD ...
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• Section 65C-22.006(2), F.A.C., requires a current physical examination (Form 3040) and immunization record (Form 680 or 681) within 30 days of enrollment. • Section 402.3125(5), F.S., requires that parents receive a copy of the Child Care Facility Brochure, "Know Your Child Care Facility” (CF/PI 175-24), or
[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]SCHOOL-ENTRY HEALTH REQUIREMENTS
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mandated to certify the school entry examination, the rule incorporates DH 3040, School Entry Health Exam (attachment D-V), by reference as acceptable documentation. Since DH 3040 is available for this purpose its use is recommended. A completed Florida High School Athletic Association Preparticipation Physical Evaluation form is also acceptable.
[PDF File]Revised 05/14 Preparticipation Physical Evaluation
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Preparticipation Physical Evaluation (Page 1 of 3) This completed form must be kept on file by the school. This form is valid for 365 calendar days from the date of the evaluation as written on page 2. This form is non-transferable; a change of schools during the validity period of this form will require page 1 of this form to be re-submitted. EL2
[PDF File]Understanding Student Immunization Certificates: 680 Form
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Objectives At the conclusion of this live session, the participant will be able to: Locate and identify Immunization Services provided by Florida Department of Health in Broward County Locate resources to assist with review of 680 forms Review student’s immunization record/680 form accurately
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