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Form 75.880 Rev. 05/00, 09/05, 08/07,04/10 OFFICE OF HEALTH SERVICES & WELLNESS Home Room Teacher Physical Examination Record (To be filled out only by a physician) Grade Name Address Phone N.

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How to fill out the Student Physical Examination Form - EVSC Home online

Completing the Student Physical Examination Form - EVSC Home online is a straightforward process that ensures a comprehensive health assessment for students. This guide will walk you through each section of the form, providing clear instructions to help you fill it out accurately.

Follow the steps to fill out the form effectively.

  1. Click ‘Get Form’ button to obtain the form and open it for editing.
  2. Begin by entering the student's personal details, including their name, date of birth, address, and contact number. These details are essential for identifying the student in the health records.
  3. Fill in the grade level of the student. This information is typically requested at the beginning of the form to assist in maintaining accurate health records.
  4. Proceed to the physical examination section. For each item listed, record the appropriate information as indicated, noting any defects or medical conditions based on the physician's assessment.
  5. Ensure to document the results for each test performed, such as vision and hearing assessments. If corrective lenses are required for vision, indicate this clearly.
  6. Complete the immunization record section. Circle the appropriate abbreviations for any immunizations the student has received, ensuring that it aligns with public health requirements.
  7. If any allergies or existing medical concerns are present, be sure to document these in the specified sections to provide a complete medical history.
  8. For the physician's recommendations, make sure the physician provides their assessment regarding the student's physical fitness for participation in physical education.
  9. Once all sections are completed, have the physician sign the form, and print their name and date where indicated.
  10. Finally, review the entire form for completeness, save any changes, and ensure that it is ready to be returned to the school nurse as required.

Complete the Student Physical Examination Form - EVSC Home online today to ensure a smooth health assessment for your student.

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The largest public school district in Indiana, Indianapolis Public Schools (IPS) is an agile, innovative educational organization committed to academic excellence built through individualized, relationship-based learning.

Signature School. Evansville, IN. ... Castle High School. Newburgh, IN. ... North High School. Evansville, IN. ... Central High School. Evansville, IN. ... Francis Joseph Reitz High School. Evansville, IN. ... William Henry Harrison High School. Evansville, IN. ... Tecumseh High School. Lynnville, IN. ... Henderson County High School. Henderson, KY.

Welcome to EVSC The EVSC is the third largest school district in the state of Indiana with an enrollment of more than 22,000 students and 3400 employees. The district is a county-wide system that is comprised of urban, suburban and rural areas.

District Name: Evansville Vanderburgh School Corp schools for this districtNCES District ID: 1803450State District ID: IN-7995Mailing Address: 951 Walnut St Evansville, IN 47713Physical Address: 951 Walnut St Evansville, IN 47713Phone: (812)435-8453Type: Regular local school districtStatus: OpenTotal Schools: 404 more rows

Phone: 812-435-8453, ext. 10090.

About ECSD The Evansville Community School District serves approximately 1,700 students. We take pride in our focus on building strong relationships with students and families.

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