Nyc physical form for school

• ChiLD & ADOLEsCEnThEALT h ExAMinATiOn FORM Print Clearly

  M Physical Exam WNL ... ChiLD & ADOLEsCEnThEALT h ExAMinATiOn FORM NYC DEPARTMENT OF HEALTH & MENTAL HYGIENE — DEPARTMENT OF EDUCATION Please Print Clearly NYC ID (OSIS) ... City/Borough State Zip Code School/Center/Camp Name District __ __ Number __ __ __ Health insurance M Yes (including Medicaid)?

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• [PDF File]Agency Stamp STAFF HEALTH FORM - New York City

  https://info.5y1.org/nyc-physical-form-for-school_1_43c607.html

  NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE BUREAU OF CHILD CARE STAFF HEALTH FORM Initial employment and every 2 years, a health examination is required for all teaching and non-teaching staff members, including volunteers and students who regularly associate with children. Attach any additional documentation to this form.

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• [PDF File]Required New York State (NYS) School Health Examination ...

  https://info.5y1.org/nyc-physical-form-for-school_1_6c6382.html

  May students be excluded from school for not providing the required NYS School Health examination form? No students may not be excluded. In the 2018-2019 school year schools should accept any physical exam form provided, and notify the parent/guardian that the new required form must be used in the 2019-2020 school year.

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• [PDF File]CHILD & ADOLESCENT HEALTH EXAMINATION FORM ... - …

  https://info.5y1.org/nyc-physical-form-for-school_1_1051e3.html

  CHILD & ADOLESCENT HEALTH EXAMINATION FORM NYC DEPARTMENT OF HEALTH & MENTAL HYGIENE — DEPARTMENT OF EDUCATION Please Print Clearly Press Hard Child’s Last Name First Name Middle Name Child’s Address City/Borough State Zip Code Parent/Guardian Last Name First Name Foster Parent School/Center/Camp Name Sex Female

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• [PDF File]Required NYS School Health Examination Form

  https://info.5y1.org/nyc-physical-form-for-school_1_e56e2a.html

  REQUIRED NYS SCHOOL HEALTH EXAMINATION FORM TO BE COMPLETED IN ENTIRETY BY PRIVATE HEALTH CARE PROVIDER OR SCHOOL MEDICAL DIRECTOR Note: NYSED requires a physical exam for new entrants and students in Grades Pre-K or K, 1, 3, 5, 7, 9 & 11 ; annually for

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• [PDF File]paveschools.org

  https://info.5y1.org/nyc-physical-form-for-school_1_982480.html

  (required for new school entrants and chilúen aœ 4-7 yrs) [2 with glasses a Motor IMMUNIZATIONS 'Rotavirus - DATES Acuity Right / Left / Strabismus a No ayes ICD-g Code Appt. date: Dental City Fax CIR Number of Child Full physical activity Influenza MMR Våricella Meningococcal Other, specify: ASSESSMENT Vision Date

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