Student Record Card 6 Maryland State Department of Education MONTGOMERY COUNTY PUBLIC SCHOOLS MCPS Rockville Maryland MCPS Form SR-6 March 2016 Page 1 of 4 MARYLAND SCHOOLS RECORD OF PHYSICAL EXAMINATION To Parents or Guardians In order for your child to enter a Maryland public school for the first time the following are required A physical examination by a physician or certified nurse practitioner must be completed within nine months prior to entering the public school system or within six months after entering the system. A physical examination form designated by the Maryland State Department of Education and the Department of Health and Mental Hygiene must be used to meet this requirement. Evidence of complete primary immunizations against certain childhood communicable diseases is required for all students in preschool through the twelfth grade. A Maryland Immunization Certification form for newly enrolling students may be obtained from the local Department of Health and Human Serv....
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How to fill out the MD MCPS SR-6 online
Filling out the MD MCPS SR-6 is essential for your child's entry into a Maryland public school. This form ensures that important health information is captured to support your child's educational experience. This guide will provide you with clear, step-by-step instructions to help you complete the form accurately.
Follow the steps to successfully complete the MD MCPS SR-6 online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by completing Part I, which is the health assessment section. Input your child's full name, birthdate, and the name of their school. Ensure all information is accurate to facilitate a smooth process.
- Provide your contact information, including your address and phone number. This information is essential for the school to reach you regarding any health-related issues.
- Indicate where your child receives routine medical and dental care by filling out the respective sections. Accurate details will assist the school in medical emergencies.
- Check 'yes' or 'no' next to each listed health condition your child may have. If answering 'yes', provide any necessary comments in the space provided.
- If your child takes any medication, mark 'yes' and list the medications. Indicate whether medication will need to be administered during school hours.
- Complete Part II only if you are an authorized health care provider. This section requires additional information about your child's health evaluation and any medical conditions that may require special attention.
- Once all sections are filled out, review the information for accuracy. Ensure the form is signed electronically by typing in your name and today's date to serve as your personal signature.
- Finally, save your changes, download the completed form, print a copy, or share it as needed to submit it to your child's school.
Complete your documents online today to ensure your child's healthy start at school.
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