Philadelphia school physical exam form
[PDF File]Philadelphia, PA 19140 - Temple University
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physical form (circle name of school) dental college of public health: _____ (name of department) medicine pharmacy physician assistant podiatry ...
[PDF File]THE SCHOOL DISTRICT OF PHILADELPHIA
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The School District of Philadelphia Office of Early Childhood Education Unusually tired, pale, lack of appetite, confused, or cranky. Two or more times in 24 hours. With fever or swollen glands. Thick mucus or pus draining from eye. 2 or more watery stools in 24 hours. Body rash with a fever or itching, or head lice. And sore throat, rash,
[PDF File]Report of Physical Examination Form MEH1 - School District of …
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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 needed regarding my child’s care. …
[PDF File]REPORT OF PRIVATE DENTAL EXAMINATION - School District of …
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These examinations are required for school attendance. Payment for these examinations is the responsibility of the 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 …
[PDF File]Pennsylvania School Bus Driver’s Manual - PennDOT Home
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Pennsylvania School Bus Driver’s Manual. FOREWORD The Highway Safety Program of the National Highway Traffic Safety Administration, under the U.S. Department of Transportation’s Federal Standard 17, requires each state to develop plans to reduce, as much as possible, the danger of death or injury to school children while being transported to and from school. This manual and the associated training …
[PDF File]pennsylvania Private or School PHYSICAL EXAMINATION
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Division of School Health Private or School PHYSICAL EXAMINATION OF SCHOOL AGE STUDENT PARENT / GUARDIAN / STUDENT: Complete page one of this form before student's exam. Take completed form to appointment. Student's name Today's date Date of birth Age at time of exam Gender: 0 Male 0 Female
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