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[PDF File]STATE OF FLORIDA School Entry Health Exam
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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.
florida health form 3040

[PDF File]STATE OF FLORIDA Page 1 of 2 School Entry Health Exam
https://info.5y1.org/florida-school-form-3040_1_ea4e35.html
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]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]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
florida health form dh 3040

[PDF File]ENROLLING IN A FLORIDA PUBLIC SCHOOL
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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. A “new entrant” is a child entering a school in Florida for the first time or entering after having been absent from a school for more than 12 months or one school year.
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[PDF File]IMPORTANT INFORMATION
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-Florida school physical form DH 3040 preferred -if alternate form is used, it can be accepted if it is similar to the DH 3040 form . If there is any question as to whether the form is acceptable, do not exclude the child; the form should be set aside for review by the School Health Nurse
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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 …
florida dh 3040

[PDF File]2019 School and Sports Physicals Resource Guide CRESTVIEW
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2019 School and Sports Physicals Resource Guide Spine Life Chiropractic 1695 South Ferdon Boulevard (850)398-8985 $40 $40 Yes Does not bill insurance Walk-ins welcome if they have required paperwork. Form 3040 for School Physical. Form EL2 for Athletic physical. *Has a Niceville location
florida form 3040

[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 a legally qualified professional. Additional requirements may be determined ... I give permission for the information on PARTS I and II of this form
florida health form 3040

[PDF File]Florida Department of Health
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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 …
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Florida school form 3040