State of illinois school physical form
[PDF File]State of Illinois Certificate of Child Health Examination
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11/2015 (COMPLETE BOTH SIDES) Printed by Authority of the State of Illinois State of Illinois Certificate of Child Health Examination Certificates of Religious Exemption to Immunizations or Physician Medical Statements of Medical Contraindication Are Reviewed and Maintained by the School …
[PDF File]State of Illinois School Health Requirements
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State of Illinois School Health Requirements The State of Illinois Certificate of Child’s Health Examination form is due October 15th, of the current school year. Your child will be excluded from school starting on October 16th of the current school year until the forms have been completed and turned in or you provide a
[PDF File]State of Illinois Certificate of Child Health Examination
https://info.5y1.org/state-of-illinois-school-physical-form_1_c79d8d.html
State of Illinois Certificate of Child Health Examination IL444-4737 (R-01-12) ... PHYSICAL EXAMINATION REQUIREMENTS Entire section below to be completed by MD/DO/APN/PA ... needed while at school due to child’s health condition (e.g. ,seizures, asthma, insect sting, food, ...
[PDF File]PROOFOFSCHOOLDENTALEXAMINATIONFORM .us
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State of Illinois Illinois Department of Public Health Tobecompletedbydentist: OralHealthStatus(checkallthatapply) Yes No DentalSealantsPresent
[PDF File]FOR USE IN DCFS LICENSED CHILD CARE FACILITIES State of ...
https://info.5y1.org/state-of-illinois-school-physical-form_1_9a76c8.html
State of Illinois Certificate of Child Health Examination IL444-4737 (R-02-13) (COMPLETE BOTH SIDES) Printed by Authority of the State of Illinois Student’s Name Last First Middle Birth Date Month/Day/Year Sex Race/Ethnicity School /Grade Level/ID#
[PDF File]FOR ILLINOIS SCHOOL BUS DRIVER Medical Examiner's ...
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A completed examination form for this person is on file in my office at _____. Printed by authority of the State of Illinois - September 2016 - 5M - DSD SB 4.8 no loss or impairment of a hand, finger, arm, foot or leg, which1.has would interfere with the safe operation of a school bus, or has
[PDF File]Pre-participation Examination - Illinois High School ...
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Pre-participation Examination PHYSICAL EXAMINATION FORM Name Last First Middle ... the IHSA Board of Directors approved a recommendation, consistent with the Illinois School Code, that allows Physician’s Assistants or ... submit to testing for the presence of performance-enhancing substances in my/his/her body either during IHSA state series ...
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