SEE OTHER SIDE FOR INSTRUCTIONS & LATE EXAM RESULTSSPINAL SCREENING REPORT (form M51) NUMBER(10 DIGIT PEIMS/TEA IS NUMBER)NAME OF SCHOOL DISTRICT OR SCHOOL CITYCOUNTYCONTACT (name/title/phone)RESULTS.
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How to fill out the Spinal Screening Report (Form M-51) online
The Spinal Screening Report (Form M-51) is essential for recording spinal screenings conducted at school campuses. This guide provides a clear, step-by-step approach to filling out the form online, ensuring accurate and comprehensive reporting.
Follow the steps to fill out the Spinal Screening Report effectively.
- Click the ‘Get Form’ button to obtain the Spinal Screening Report (Form M-51) and open it in your preferred editor.
- In the section labeled 'Student spinal screening', enter the number of students screened, categorized by their grade (G) or age (A) and sex (F or M).
- Under the 'Results of referrals only', document the results from professional exams for students referred, ensuring to log details only for those students.
- Fill in the 'Physician diagnosis' section by entering the number of students diagnosed with normal curvature, scoliosis, kyphosis, or other conditions.
- In the 'Treatment plan' section, indicate the treatment provided to each student, selecting only one option for each, noting any specific treatments such as observation, bracing, or surgery.
- Verify that the sums of the columns are accurate, specifically that the totals from the treatment plan match the results of referrals.
- Save your changes to the form, ensuring that all data is correctly entered. You may download, print, or share the completed form based on your needs.
Complete your Spinal Screening Report online today to ensure accurate health reporting.
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