School medical exam

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Report of Health Examination for School Entry - DHCS Home Page If your child is unable to get the school health check-up, call the Child Health and Disability Prevention (CHDP) Program in your local health department.
http://www.dhcs.ca.gov/formsandpubs/forms/forms/childmedsvcforms/pm171a(bi).pdf
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SCHOOL ENTRANCE & GENERAL HEALTH EXAM FORM/ LHSAA MEDICAL ... STATE OF LOUISIANA SCHOOL ENTRANCE & GENERAL HEALTH EXAM FORM/ LHSAA MEDICAL HISTORY EVALUATION See instructions on page 4. LHSAA student athletes using this form for ...
http://lhsaa.org/uploads/forms/pdf/la._health_exam_form1.pdf
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medical exam form - Clementon School District updated 2008 clementon elementary school 4 audubon avenue clementon, nj 08021 856-783-2300 / fax- 856-783-8929 medical examination form child’s name date of ...
http://clementon.k12.nj.us/pdf/medical_exam_form.pdf
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MEDICAL EXAMINATION The South Pasadena Unified School District requires medical approval from a LICENSED PHYSICIAN prior to participation.
http://athleticsspms.homestead.com/medical_examination.doc
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SCHOOL PHYSICAL EXAM FORM - Brunswick SCHOOL PHYSICAL EXAM FORM Name: Date of Birth: _____ School: Gender: M F Grade: ___ ... Significant Medical/Surgical History: See attached
http://www.brittonkill.k12.ny.us/forms/health/school_physical_exam_form_secondary.pdf
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STATE OF FLORIDA Page 1 of 2 School Entry Health Exam School Entry Health Exam ... Please complete and sign Part I — Child’s Medical History. State law for school entry requires a health examination by a legally ...
http://www.orchd.com/personalhealth/schoolhealth/enrollment/forms/schoolentryexam06-02.pdf
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VILLAGE PRESBYTERIAN PRE-SCHOOL MEDICAL EXAM FORM VILLAGE PRESBYTERIAN PRE-SCHOOL . MEDICAL EXAM FORM. No child will be admitted to the Pre-school unless this form, including immunization records required by New York ...
http://www.vpps.org/images/medexamform_1_.docx
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MASSACHUSETTS SCHOOL HEALTH RECORD - Wilmington … Please circle those administered in school; ... I certify that this immunization information was transferred from the above-named individual’s medical records.
http://www.wilmington.k12.ma.us/health/physical examination form.doc
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New York State Education Department - P-12 : NYSED A health examination performed by the school medical director is a health appraisal. ... Ideally the documentation of such an exam should be completed
http://www.p12.nysed.gov/sss/schoolhealth/schoolhealthservices/schoolhealthexaminationguidelines.pdf
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Physical Exam Form - Howard County Public School System - HCPSS 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
http://www.hcpss.org/files/form_health_physicalexam.pdf
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CHILD & ADOLESCENT HEALTH EXAMINATION FORM STUDENT ID NUMBER ... TYPE OF EXAM: NAE ... Does the child/adolescent have a past or present medical history of the following? Asthma ... School/Center/Camp Name Sex Female
http://www.nyc.gov/html/doh/downloads/pdf/hcp/hcp-ch205.pdf
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Physical Examination Checklist - George Washington University Display a professional demeanor towards the patient during the exam. Introduce yourself as a medical student. Use the patient’s last name.
http://www.gwu.edu/~med08/worksheets/physical examination checklist.doc
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FOR USE IN DCFS LICENSED CHILD CARE FACILITIES State of ... attached explaining the medical reason for the contraindication. ... Spinal Exam . Cardiovascular/HTN . ... needed while at school due to child’s health condition ...
http://www.idph.state.il.us/health/vaccine/child_hlth_forms/child_hlth_exam_cert.pdf
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Virginia School Entrance Health Form SCHOOL ENTRANCE HEALTH FORM ... Medical Provider or Health Department Official in the appropriate box. ... The exam must be done no longer than one year before entry
http://www.doe.virginia.gov/support/health_medical/school_entrance_form/school_entrance_form.pdf
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SCHOOL MEDICAL EXAMINATION FORM - Sixth (6th) and Ninth … Title: SCHOOL MEDICAL EXAMINATION FORM - Sixth (6th) and Ninth (9) Grade Form (5-12) Author: staff Last modified by: KCloyes Created Date: 11/20/2003 6:28:00 PM
http://www.russellind.kyschools.us/documents/physicalexamform5to12.doc
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<<< ATTENTION PHYSICIANS AND BUS DRIVERS >>> Medical Examination Report FOR COMMERCIAL DRIVER FITNESS DETERMINATION 649-F (6045) 1. DRIVER'S INFORMATION Driver completes this section Date of Exam
http://www.state.nj.us/mvc/pdf/about/ra-4.pdf
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PHYSICAL EXAMINATION EXAM MEDICAL Comments: Appearance ... MEDICAL REVIEW BY SCHOOL/TEAM PHYSICIAN _____ APPROVED AS REQUESTED. No history or physical findings on this examination would ...
http://www.3villagecsd.k12.ny.us/adforms/physical examination.doc
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Utah High School Sports Physical Form - Intermountain Healthcare Preparticipation Physical Evaluation HISTORY DATE OF EXAM Name Sex Age Date of birth Grade School Sport(s) Address Phone Personal physician In case of emergency, contact
http://intermountainhealthcare.org/services/medicalgroup/clinics/physicianclinics/bountiful/resources/documents/utahhighschoolsports.pdf
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FLORIDA DEPARTMENT OF TRANSPORTATION MEDICAL EXAMINATION ... rule 14-90.0041, f.a.c. florida department of transportation medical examination report for bus transit system driver 725-030-11 transit 05/09
http://www.dot.state.fl.us/transit/pages/amendedmedicalexaminationreport.pdf
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school entry medical examination - Archives of Disease in ... 808 Whitmore and Bax child on entry to an infant school to have a comprehensive examination by the school doctor andnurse. In anotherpaperwepresentspecific data
http://adc.bmj.com/content/61/8/807.full.pdf
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