Get Lawrence Academy Physical Examination And Immunization Record - Lacademy

Completing the Lawrence Academy Physical Examination and Immunization Record is a crucial step for students preparing to participate in school activities. This guide will provide you with clear, step-by-step instructions to ensure that all necessary information is accurately recorded in the form.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to access the Lawrence Academy Physical Examination and Immunization Record. This will allow you to open the document and begin filling it out in your desired format.
2. In the first section, enter the student's name, including last, first, and middle names clearly. Ensure that this information is spelled correctly as it will be used in official records.
3. Fill in the date of birth in the format of month, day, and year. Additionally, mark the appropriate box for gender by selecting either 'M' or 'F'.
4. Record the student's height (HT) and weight (WT) in the designated fields, and also enter their pulse and blood pressure (BP) readings.
5. Complete the Mantoux (TB test) section if indicated. Enter the date of the test and the result, and attach the chest X-ray report if the result is greater than 10mm.
6. List all required immunizations along with the corresponding dates. This includes DPT, DT/Td/Tdap, Polio, MMR, Varicella, Hepatitis B, and Meningococcal, plus any others.
7. Review the section on known injuries or conditions by indicating any abnormalities in the areas listed, such as head, cardiovascular, and musculoskeletal. Provide full explanations for any positive responses in the space provided.
8. If the student is currently taking medications or receiving treatments, document these clearly in the designated area.
9. Respond to the question regarding the student's capability for physical activity. Select 'Yes', 'No', or 'Limited' as appropriate, and provide explanations if necessary.
10. Secure the signature of the physician, nurse practitioner, or physician assistant in the designated area, and make sure to include the date of the examination as well as the printed name and contact information.

Start filling out your Lawrence Academy Physical Examination and Immunization Record online today!