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MORRISVILLE STATE COLLEGE MATTHIAS STUDENT HEALTH CENTER PO BOX 901 MORRISVILLE NY 13408 PHONE 315 684-6078 FAX 315 684-6493 Welcome to Morrisville State College. Your health history is an important part of the care we will provide to you while you are a student. Please fill out all sections on pages 1 2 and then your Health Care Provider needs to complete the Immunization and Physical Exam form on pages 3 4. Ht. Wt. BPPulse Build Slender Med. .

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Florida Statute 1003.22 requires that each child initially entering a public or private school in the state present documentation of a physical examination performed within one year prior to enrollment (registration date).

Services include: PrEP and nPep, Family Planning, Immunizations, STI Testing and Treatment, School and Work physicals, Travel Immunizations, and Quick Care.

ITEMS NEEDED AT TIME OF REGISTRATION An original birth certificate or other original proof of age. Cellular telephone bill or bank statement. Name and address must be on both proofs. Proof of a medical examination (HRS 3040 form) which has been performed within a twelve month period prior to school registration.

The Form DH 680, Florida Certification of Immunization, must be used to document receipt of immunizations required for entry and attendance in Florida schools, childcare facilities, and family daycare homes.

How long are forms/physicals valid? All forms are valid for one calendar year (365 days) from the signed date shown or the date of examination.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232