Philadelphia school district physical form

    • [PDF File]H511.340 (Rev. 10/06) - School District of Philadelphia

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      V. Report of Physical Examination (V) Hei t (inches) Wei t nds Blood Pressure Hair/Scal • Skin • E es—Visucal Acuit R / L E es — Color Vision Ears — Hearin dB Nose and Throat • Teeth and Gin L h Glands Heart — Murmur, etc. Lun — Adventious Fin Abdomen Genitourin Neuromuscular S stem …

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    • [PDF File]THE SCHOOL DISTRICT OF PHILADELPHIA SCHOOL HEALTH …

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      THE SCHOOL DISTRICT OF PHILADELPHIA SCHOOL HEALTH SERVICES REQUEST FOR ADMINISTRATION OF MEDICATION OR USE OF SUCTION, OXYGEN OR OTHER EQUIPMENT IN SCHOOL DATE OF BIRTH PHYSICIAN, PLEASE NOTE: Fill in all of the spaces. Missing information will cause the form to be returned to you. This will cause a delay in your patient receiving medication ...

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    • [PDF File]REPORT OF PRIVATE DENTAL EXAMINATION - School District …

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      parent/guardian. If the student/family does not have health insurance the school nurse will help the family apply for health insurance. Please attach a copy of the student’s dental examination or record the data below. Thank you for your cooperation. THE SCHOOL DISTRICT OF PHILADELPHIA REPORT OF PRIVATE DENTAL EXAMINATION UNDER TREATMENT ...

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    • [PDF File]DATE OF EXAM

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      Adapted in part from the Pre-participation Physical Evaluation History Form; ©2010 American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine.

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    • [PDF File]GUIDELINES FOR PENNSYLVANIA SCHOOLS FOR THE …

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      Jun 21, 2010 · Using these guidelines, school officials, school nurses, educational personnel, health professionals, and parent(s)/guardian(s) can work together to develop individual school district policies and procedures. Medication policies and procedures must be consistent with state laws and regulations and with the standards of nursing and medical practice.

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    • [PDF File]Sunday June 9, 2019 - School District of Philadelphia

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      The School District of Philadelphia (the “School District”) offers your child, _____ (student’s name, the “Student”) the opportunity to receive a free pre‐participation physical exam and medical screenings in connection with his or

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    • [PDF File]Application for Work Permit - Pennsylvania Department of ...

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      Any physical workrestrictions School district ‐name andaddress ... administeroathsattesting to the accuracyofthe factsset forthin the application ona form prescribed by the department. The statement shall be attached to the application. Title: Application for Work Permit

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    • [PDF File]T H E S C H O O L D I S T R I C T O F P H I L A D E L P H I A

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      The School District of Philadelphia is verifying the prior experience of the employee listed above. Please complete the section below and return it directly to the School District of Philadelphia within two weeks. Thank you for your cooperation. Start Date End Date Position Held Status If PT, Average Number of Hours Worked Per Week Length of Year

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    • [PDF File]PIAA ATHLETIC PHYSICAL FORM - Amazon Web Services

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      PIAA ATHLETIC PHYSICAL FORM TURN IN THE FORM AT LEAST ONE WEEK PRIOR TO THE STA RT OF THE SEASON FORM CAN BE SCANNED AND EMAILED TO: athletictraining@sasd.k12.pa.us (this email is for physical submission only) OR TURNED IN TO THE ATHLETIC OFFICE AT THE HIGH SCHOOL ONLY DO NOT TURN THE FORM IN TO A COACH OR OTHER PERSON

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    • [PDF File]Report of Physical Examination Form MEH1

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      THE SCHOOL DISTRICT OF PHILADELPHIA SCHOOL HEALTH SERVICES REPORT OF PHYSICAL EXAMINATION Date Issued: [Date] Student ID#: Name of Student: Date of Birth: Grade: Name of School: Room/Section/Book TO THE PARENT/GUARDIAN: I authorize the school nurse to communicate with my child’s health care provider and my health care provider to reply as ...

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