Get Health Appraisal Form - White Plains Public Schools

Navigating the Health Appraisal Form is essential for ensuring compliance with health requirements for students in the White Plains Public Schools. This guide provides clear, step-by-step instructions to assist users in accurately completing the form online.

Follow the steps to effectively complete the Health Appraisal Form.

1. Click ‘Get Form’ button to access the Health Appraisal Form and open it in your preferred editor.
2. Begin by entering the student's name and date of exam in the designated fields. Ensure that accurate information is provided.
3. Fill in the school name and select the appropriate gender for the student, marking either male or female as required.
4. Complete the date of birth and grade fields by providing the correct information related to the student.
5. In the immunizations and health history section, provide details on the sickle cell screen, PPD test, lead levels, and attach any immunization records as necessary.
6. List any allergies and provide significant medical or surgical history if applicable, ensuring to indicate any life-threatening allergies.
7. In the physical exam section, fill out the height, weight, blood pressure, pulse, and BMI as indicated. Specify any issues with vision, hearing, or scoliosis.
8. Document any medications the student is currently taking, noting if the student is self-directed in their medication management.
9. Complete the physical education, sports, playground, work qualification, and CSE consideration section by marking the appropriate responses.
10. If needed, provide optional information regarding current diseases or other relevant details.
11. Have the healthcare provider sign and print their name, along with contact information, and ensure that a parent or guardian also signs the form.
12. Finally, review the completed form for accuracy. You can save changes, download, print, or share the form as required.

Ensure your child’s health record is up-to-date by completing the Health Appraisal Form online today.