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[PDF File]COMMONWEALTH OF VIRGINIA
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Part III -- COMPREHENSIVE PHYSICAL EXAMINATION REPORT A qualified licensed physician, nurse practitioner, or physician assistant must complete Part III. The exam must be done no longer than one year before entry into kindergarten or elementary school (Ref. Code of Virginia § 22.1-270).
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[PDF File]Maryland Schools Record of Physical Examination
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Maryland Schools Record of Physical Examination To Parents or Guardians: In order for your child to enter a Maryland Public school for the first time, the following are required: A physical examination by a physician or certified nurse practitioner must be completed within nine months prior to entering the public school system or within
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[PDF File]PREVENTATIVE HEALTH CARE EXAMINATION FORM
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preventative health care examination form All local boards of education shall require a preventative health care examination of each child first entering a Kentucky public school within a period of twelve (12) months prior to initial admission to school and within one (1) year prior to entry to sixth grade.
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[PDF File]Idaho High School Activities Association Idaho Health ...
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Idaho High School Activities Association Idaho Health Examination and Consent Form It is required that all students complete a History and Physical examination prior to his/her first 9th and 11th grade practice in the interscholastic (9-12) athletic program in the State of Idaho.
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[PDF File]HEALTH EXAMINATION and CONSENT FORM - Idaho High …
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It is required all students complete a history and physical examination prior to his/her first 9th and 11th grade practice in the interscholastic (9-12) athletic program in the State of Idaho. The exam is at the expense of the student and may not be taken prior to May 1 of the 8th and 10th grade years.
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[PDF File]School Sports Pre‐Participation Examination – Part 1 ...
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School Sports Pre‐Participation Examination – Suggested Exam Protocol for Medical Provider Revised May 2017 Oregon School Activities Association Forms – Physical Examination‐2017 Revised 05/17 2019‐2020 OSAA Handbook 581‐021‐0041 Form and Protocol for Sports Physical Examinations 1.
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[PDF File]Page 1 of 2 STATE OF FLORIDA School Entry Health Exam
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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]STATE OF FLORIDA Page 1 of 2 School Entry Health Exam
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School Entry Health Exam Page 2 of 2 Name of Child (Last, First, Middle) Birth Date PART II — MEDICAL EVALUATION To be completed and signed by the Health Care Provider ONLY: The child named above has had a complete history and physical exam on the following date: (Exam must be within one year of enrollment) Month Day Year
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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]Report of Health Examination for School Entry
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REPORT OF HEALTH EXAMINATION FOR SCHOOL ENTRY To protect the health of children, California law requires a health examination on school entry. Please have this report filled out by a health examiner and return it to the school. The school will keep and maintain it as confidential information. PART I TO BE FILLED OUT BY A PARENT OR GUARDIAN
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School physical exam forms