Form dh 3040 florida

    • [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]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.


    • [PDF File]Florida Immunization Requirements: FAQs

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      Florida Immunization Requirements: FAQs ... to the facility/school on the Department of Health’s Religious Exemption Form Immunization (DH 681 Form). The Form is issued ONLY by county health departments ... Immunization (DH Form 680), the form needed for school. Another place to look is at the County Health Department (CHD). If you received any


    • [PDF File]Florida Department of Health

      https://info.5y1.org/form-dh-3040-florida_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


    • [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 …


    • [PDF File]ENROLLING IN A FLORIDA PUBLIC SCHOOL

      https://info.5y1.org/form-dh-3040-florida_1_61586e.html

      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. A “new entrant” is a child entering a school in Florida for the first time or entering after having been


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

      https://info.5y1.org/form-dh-3040-florida_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.


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

      https://info.5y1.org/form-dh-3040-florida_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 …


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