Florida health form 3040

    • [PDF File]FDOH in Seminole Shepherd's Hope Back to School Physicals ...

      https://info.5y1.org/florida-health-form-3040_1_f0d95f.html

      Forms Issued: The Florida Department of Health required form (DOH 3040) will be issued following completion of the physical examination. This form meets the Florida state requirement for enrollment in public or private school. ABOUT SHEPHERD’S HOPE: Shepherd’s Hope offers free and compassionate health care to the uninsured and

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    • [PDF File]STATE OF FLORIDA School Entry Health Exam

      https://info.5y1.org/florida-health-form-3040_1_81d1e8.html

      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.

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    • [PDF File]STATE OF FLORIDA Page 1 of 2 School Entry Health Exam

      https://info.5y1.org/florida-health-form-3040_1_ea4e35.html

      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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    • [PDF File]DH Form 3040 Questions & Answers - Volusia County Schools

      https://info.5y1.org/florida-health-form-3040_1_16bfa6.html

      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]Page 1 of 2 STATE OF FLORIDA School Entry Health Exam

      https://info.5y1.org/florida-health-form-3040_1_be81ae.html

      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 a legally qualified professional. Additional requirements may be determined ... I give permission for the information on PARTS I and II of this form

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    • [PDF File]STATE OF FLORIDA Page 1 of 2 School Entry Health Exam

      https://info.5y1.org/florida-health-form-3040_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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