Get District Physical Examination Form - Coventry Public Schools

Completing the District Physical Examination Form for Coventry Public Schools is an important step in ensuring your child's health is assessed prior to school entry. This guide will help you navigate the form efficiently and effectively.

Follow the steps to successfully fill out the District Physical Examination Form.

1. Click ‘Get Form’ button to obtain the form and open it for filling out.
2. Begin by entering the student’s name, date of birth, sex, grade, and room number in the designated fields at the top of the form.
3. Review the note section regarding the timing of physical exams. Ensure the exam is scheduled within 12 months before or 4 months after school entrance to avoid exclusion.
4. Fill out the physical examination section, marking the appropriate code for various health evaluations, including height, weight, vision, and other body systems. Choose from the codes: 0 for no defect, 1 for slight deviation, 2 for requires attention, Tr for under treatment, and C for corrected.
5. Indicate whether the student may participate in contact sports or physical education by selecting 'Yes' or 'No' and provide any necessary limitations or comments.
6. On the immunizations section, enter the required dates for vaccinations, ensuring to complete all required fields, especially for DPT, MMR, Hepatitis B, Varicella, and other vaccines.
7. Document the Mantoux test results and any additional notes regarding other vaccinations or lead screenings.
8. Once all sections are completed, remember to obtain the physician’s signature and phone number for verification.
9. After ensuring all information is correct, save changes to your document. You can then download, print, or share the form as needed.

Take the next step in your child's school journey by completing the District Physical Examination Form online today!