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Of immunizations for admission requirements; (2) Note special program considerations or restriction on child participation; (3) Execute emergency medical procedures for chronic illness or conditions; (4) Refer the child for enrollment in Exceptional Family Member Program; (5) Certify the child is physically fit to participate in sports. Routine use: In addition to those disclosures generally permitted under 5 USC 552a(b) of the Privacy Act, these records and information may specifically be discl.

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How to fill out the AE 608-10-1A online

The AE 608-10-1A form is essential for ensuring child health and immunization status in relation to participation in Child, Youth, and School Services programs. This guide provides clear and supportive instructions for users to complete the form online effectively.

Follow the steps to complete the AE 608-10-1A form online.

  1. Click 'Get Form' button to access the AE 608-10-1A document online.
  2. Begin with Part A by entering the sponsor's personal contact information. This includes the name, home telephone, work telephone, cell phone, and work address. If there is a spouse, include their work telephone.
  3. Provide Child Health Information by filling out the child's name, date of birth, and sex. Indicate whether there are ongoing medical concerns and if the child is enrolled in the Exceptional Family Member Program, with explanations as necessary.
  4. Complete the Medical History section by indicating 'Yes' or 'No' for each medical condition listed. If 'Yes' is selected, provide explanations for any conditions that apply, including ongoing medications and allergies.
  5. Move to Part B, where a licensed independent practitioner will assess the child's height, weight, age, blood pressure (BP), and visual acuity. Include comments and any identified abnormalities that may require treatment.
  6. In this part, determine if immunizations are current and if participation in all sports is recommended. Make sure to note any restrictions related to physical activity and include any additional comments.
  7. Proceed to Part C to describe any special medical considerations or program restrictions that could affect the child's participation. Confirm if the child is able to engage in normal activities and provide the stamp and signature of the licensed healthcare professional.
  8. Conclude by collecting all necessary signatures from the parent or guardian and any required health assessment annual recertifications.
  9. After finishing, review all entries for accuracy. You can then save changes, download, or print the form for your records.

Complete your AE 608-10-1A form online today to ensure your child's health needs are met.

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