Hrs form 3040

    • [PDF File]MIAMI-DADE COUNTY PUBLIC SCHOOLS

      https://info.5y1.org/hrs-form-3040_1_e0f65a.html

      STUDENT PHYSICAL EXAMINATION – HRS Form 3040 Requirements for students enrolling in a Florida school for the first time must be completed within 12 months prior to entry date including proof of tuberculin skin test, reading of the test, and appropriate follow-up.

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    • [PDF File]Understanding Student Immunization Certificates: 680 Form

      https://info.5y1.org/hrs-form-3040_1_ba3b30.html

      Objectives At the conclusion of this live session, the participant will be able to: Locate and identify Immunization Services provided by Florida Department of Health in Broward County Locate resources to assist with review of 680 forms Review student’s immunization record/680 form accurately

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

      https://info.5y1.org/hrs-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 …

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    • [PDF File]MIAMI-DADE COUNTY PUBLIC SCHOOLS

      https://info.5y1.org/hrs-form-3040_1_726c0c.html

      STUDENT PHYSICAL EXAMINATION – HRS Form 3040 Requirements for students enrolling in a Florida school for the first time must be completed within 12 months prior to entry date including proof of tuberculin skin test, reading of the test, and appropriate follow-up. This yellow form shows that a health examination has been performed

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    • [PDF File]Date REGISTER BY APRIL 17 TO RECEIVE A $50 DISCOUNT …

      https://info.5y1.org/hrs-form-3040_1_312078.html

      Non-University School parents must submit with this registration form the DH/HRS Form 3040(yellow) and the DH/HRS form 680 (blue) signed by a physician for each child. ALL students must submit the Authorization for Medication/Treatment Form. I/we hereby agree that I/we will be responsible for any loss, damage, or destruction by the student. ...

      hrs form 3040 florida


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

      https://info.5y1.org/hrs-form-3040_1_e0bc79.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]DP 3040 SDS - Design Polymerics

      https://info.5y1.org/hrs-form-3040_1_647020.html

      S A F E T Y D A T A S H E E T DP 3040 WHITE, WATER BASED VAPOR BARRIER COATING Page: 4 Disclaimer: The information and recommendations set forth herein are believed to be accurate. Because some of the information is derived from information provided to Design Polymerics from its suppliers, and because Design Polymerics has no control over the conditions of handling and use,

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    • [PDF File]Lighthouse Prep Application for Enrollment

      https://info.5y1.org/hrs-form-3040_1_bc418e.html

      Form HRS-3040). The certification must be signed by a medical professional and is valid for two years from the date the physical examination was conducted. 2. Current Florida Certificate of Immunization – Florida law requires that your child’s immunization information be written on a large blue card called a “680” form.

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    • [PDF File]DH Form 3040 Q&A

      https://info.5y1.org/hrs-form-3040_1_44758c.html

      • The rule states that the examination may be documented on the form 3040, or a signed statement by the health professional indicating the results. • The rule requires the licensed health professional to certify that the health examination has been performed. The DH 3040, 6/02, School Entry Health Examination consists of three parts:

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    • [PDF File]Health-Related and Additional Requirements for School ...

      https://info.5y1.org/hrs-form-3040_1_f92b37.html

      The school entrance physical examination should be documented on HRS form 3040 (or a reasonable substitute covering all body systems). If a student has ever been in a Florida school, public or private, and a physical is on file, a new physical is not required. All in …

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