Florida school entry physical form
[PDF File]STATE OF FLORIDA School Entry Health Exam
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STATE OF FLORIDA School Entry Health Exam. Page 1 of 2. To Parent/Guardian: Please complete and sign Part I — Child’s Medical History. State law for school entry requires a health examination by a legally qualified professional.
[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
[PDF File]COMMONWEALTH OF VIRGINIA
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SCHOOL ENTRANCE HEALTH FORM Health Information Form/Comprehensive Physical Examination Report/Certification of Immunization Part I – HEALTH INFORMATION FORM State law (Ref. Code of Virginia § 22.1-270) requires that your child is immunized and receives a comprehensive physical examination before entering public kindergarten or elementary school.
School Entry Health Requirements
School Entry Health Examination (School Physical) Form DH 3040 (Physical Examination dated within 12 months prior to registration) Florida Certificate of Immunization (Immunization Record) Form DH 680 (Must be used to document immunizations required for entry and attendance in Florida Schools) Please contact your Primary Care Physician for a ...
[PDF File]STATE OF FLORIDA Page 1 of 2 School Entry Health Exam
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DH 3040, 6/02 (Obsoletes previous editions which may not be used) Stock Number: 5744-000-3040-2 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 …
[PDF File]ENROLLING IN A FLORIDA PUBLIC SCHOOL
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provider licensed to perform physical exams and must be completed within the past 12 months (This is not an annual exam.). The school entry health exam (form DH 3040) is a requirement for students in grades kindergarten through 12th grade who are making their initial entry into a Florida school.
[PDF File]Revised 05/14 Preparticipation Physical Evaluation
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Florida High School Athletic Association Preparticipation Physical Evaluation (Page 3 of 3) This completed form must be kept on file by the school. This form is valid for 365 calendar days from the date of the evaluation as written on page 2.
[PDF File]SCHOOL ENROLLMENT AND REGISTRATION - Volusia County …
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Refer to the 2009-2010 School Immunization Requirements for School Entry and Attendance. The Florida Certification of Immunization, Form 680, must be used to document the immunizations required for entry and attendance in Florida schools. These forms are not available to the public and must be completed
[PDF File]Florida Department of Health
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Florida Department of Health Completing the School Entry Health Exam Form (DH3040-CHP-07/2013) General Information Purpose: The School Entry Health Exam has been designed to meet the requirements for the school entry health examination, as mandated by s.1003.22, F.S., for student entry into Florida public and
[PDF File]Page 1 of 2 STATE OF FLORIDA School Entry Health Exam
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STATE OF FLORIDA School Entry Health Exam ... (This form will be stored in the child’s Cumulative Health Folder and may be accessed by both school and health personnel.) Recommendations (Attach additional sheet if necessary): (Please Check One) This child may participate fully in school activities including physical education. This child may participate in school activities including ...
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