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CHDP website: www.dhcs.ca.gov/services/chdp. PM 171 B (Bilingual) (09/07). WAIVER ... Please fill out this form if you want to excuse your child from the health .

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How to fill out the Pm 171 B online

Filling out the Pm 171 B form online is a crucial step for parents or guardians seeking to waive the health examination requirement for their child’s school entry. This guide provides clear instructions to help you navigate each section of the form with confidence.

Follow the steps to successfully complete the Pm 171 B form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the child's name in the designated fields, including their last name, first name, and middle name if applicable.
  3. Fill out the child's address accurately, including the number, street, city, and ZIP code.
  4. Specify the school that the child will be attending.
  5. Provide the child's date of birth in the format of month/day/year.
  6. If applicable, enter the name of the child's teacher.
  7. In the parent or guardian section, review the instructions and complete the selected option stating whether you choose to waive the health examination or would like your child to receive one but are unable to obtain it.
  8. If applicable, describe the reason for your choice in the provided space.
  9. Sign the form as the parent or guardian and enter the date of signing.
  10. Finally, review all entered information for accuracy, then securely save, download, or print the completed document for submission.

Complete the Pm 171 B form online today to ensure a smooth enrollment process for your child.

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A physical exam checks your overall health. Your healthcare provider will evaluate the basic function of your organs, address any concerns, update your vaccinations and help you get healthy or maintain good health. Get a physical exam each year. It takes about 30 minutes to complete.

That is why California has a law that says all children must have a health check-up before they enter first grade. The health check-up must be completed a year and a half (18 months) prior to or 90 days after your child begins first grade to meet the school entry requirement.

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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
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