Get Virginia Common Health Physical Fillable Form

Filling out the Virginia Common Health Physical Fillable Form online can streamline the process of ensuring your child is ready for school enrollment. This guide offers clear, step-by-step instructions on completing each section of the form, catering to users of all experience levels.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to access the Virginia Common Health Physical Fillable Form and open it in your preferred online editor.
2. Begin by entering the name of the school your child will attend, followed by their grade.
3. Fill in your child's full name, including last name, first name, and middle name.
4. Indicate your child's date of birth using the provided format and select their state or country of birth.
5. Provide the student's Social Security number or identification number, as required.
6. Enter your child's address, including city, state, and zip code.
7. Complete the parent or legal guardian's name and contact information, including home and work phone numbers.
8. List emergency contacts, including names and complete phone numbers in the designated areas.
9. Assess your child's health by checking 'Yes' or 'No' for various health conditions, adding comments if necessary.
10. Document any medications your child takes regularly and provide other significant health-related information.
11. Indicate the name of your child's pediatrician or primary care provider and any medical specialists involved in their care.
12. Answer whether your child has seen a dentist, including the date of the last appointment.
13. Choose whether to discuss confidential information with the school nurse and whether to permit the school to contact the examining physician.
14. Sign and date the form as the parent or legal guardian, and if necessary, provide an interpreter's signature.
15. Once all information is entered, save your changes, download the completed form, or print it for submission.

Start filling out your Virginia Common Health Physical Fillable Form online today to ensure a smooth enrollment process!