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  • Ae 608-10-1a 2014

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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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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232