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[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.
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[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 …
florida school entry health form

[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
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[PDF File]STATE OF FLORIDA Page 1 of 2 School Entry Health Exam
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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 …
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[PDF File]DH Form 3040 Questions & Answers - Volusia County Schools
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DH Form 3040 Questions & Answers 1 The Basic Facts: Florida Statute 1003.22(1), and Chapter 6A-6.024, Florida Administrative Code, outlines the basic DOE requirements for school-entry health examinations. These regulations are referenced in the answers below. The statute and rule only address exams for DOE mandated programs - grades K through 12.
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[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
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Florida dh 3040 form