Florida physical form dh 3040

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

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

      STATE OF FLORIDA School Entry Health Exam ... The child named above has had a complete history and physical exam on the following date: ... (This form will be stored in the child’s Cumulative Health Folder and may be accessed by both school and health personnel.)

      dh 3040 physical form pdf


    • [PDF File]Florida School Entry Health Requirements

      https://info.5y1.org/florida-physical-form-dh-3040_1_423979.html

      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]DH Form 3040 Questions & Answers - Volusia County Schools

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

      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, it has been the School Health Office position that the

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    • [PDF File]IMPORTANT INFORMATION - St. Lucie County Public Schools

      https://info.5y1.org/florida-physical-form-dh-3040_1_3691f3.html

      The Student Physical Examination Form DH 3040 is the acceptable form and is in circulation in physician’s offices and the county health units. If a student presents a physical examination report performed in the last 12 months that is similar to the DH 3040 form with much of the same health information included, that form can be accepted.

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    • [PDF File]Guide for Student Entry Health Exam 7-02

      https://info.5y1.org/florida-physical-form-dh-3040_1_af22e2.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

      dh 3040 form pdf


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

      https://info.5y1.org/florida-physical-form-dh-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]ENROLLING IN A FLORIDA PUBLIC SCHOOL

      https://info.5y1.org/florida-physical-form-dh-3040_1_61586e.html

      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 grades kindergarten through 12th grade who are making their initial entry into a Florida school.

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    • [PDF File]Florida Department of Health

      https://info.5y1.org/florida-physical-form-dh-3040_1_8d0c8b.html

      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 s.1003.22, F.S., for student entry into Florida public and

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

      https://info.5y1.org/florida-physical-form-dh-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.

      dh 3040 physical form pdf


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

      https://info.5y1.org/florida-physical-form-dh-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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