School physical exam form florida
[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 a legally qualified professional.
[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]Maryland Schools Record of Physical Examination
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Records Retention - This form must be retained in the school record until the student is age 21. Maryland Schools -Record of Physical Examination Revised 12/04. PART I - HEALTH ASSESSMENT To be completed by parent or guardian ... When was the last time your child had a physical exam? Month Year
[PDF File]Miami-Dade County Public Schools Division of Athletics and ...
https://info.5y1.org/school-physical-exam-form-florida_1_0ac9af.html
Florida High School Athletic Association Preparticipation Physical Evaluation (Page 1 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]PREPARTICIPATION PHYSICAL EVALUATION -- MEDICAL HISTORY ...
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PREPARTICIPATION PHYSICAL EVALUATION -- MEDICAL HISTORY REVISED 12-4-14 This MEDICAL HISTORY FORM must be completed annually by parent (or guardian) and student in order for the student to participate in athletic activities.These questions are designed to determine if the student has developed any condition which would make it hazardous to participate in an athletic event.
[PDF File]Page 1 of 2 STATE OF FLORIDA 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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