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STUDENT HEALTH INFORMATION SHEETStudents name Parent/Guardian Address Phone DOB Family doctor Phone # Does student suffer from frequent: colds sore throats earaches headaches nosebleeds fainting spells.

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How to fill out the STUDENT HEALTH INFORMATION SHEET online

Completing the Student Health Information Sheet is an important step in ensuring the health and safety of students. This guide will provide you with clear instructions on filling out the form online, making the process simple and efficient.

Follow the steps to complete the form with ease.

  1. Press the ‘Get Form’ button to retrieve the form and access it for input.
  2. In the first section, enter the student's name and the name of a parent or guardian. Fill in the address and phone number, along with the date of birth.
  3. Provide the name and phone number of the family doctor.
  4. Indicate whether the student suffers from any frequent health issues by checking the appropriate boxes for colds, sore throats, earaches, headaches, nosebleeds, fainting spells, allergies, and food allergies.
  5. If food allergies are present, specify them in the provided space.
  6. Mark whether the student has asthma, seizures, a heart condition, diabetes, pneumonia, or other health problems, and add details if necessary.
  7. Document any past surgeries, fractures, or other injuries that the student has experienced.
  8. Indicate if the student has ever had chicken pox and provide the date, including at least the month and year, to ensure vaccination exemptions.
  9. State whether the student wears glasses or contact lenses.
  10. Comment on any known speech or hearing problems the student may have.
  11. If the student has any restrictions due to health issues, please outline them.
  12. List any medications the student takes daily, including both school and home medications, along with the reasons for taking them.
  13. Confirm any medication allergies and list them in the appropriate section.
  14. Describe any additional health conditions or pertinent information regarding the student’s health.
  15. Finally, ensure the form is dated, then sign with the parent or guardian's name before returning.

Complete and submit the Student Health Information Sheet online for a smoother process.

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If you have more questions about school health programs, call 311.

You must have a Bachelor of Science degree in Nursing (BSN) from an accredited college or university or one recognized by the New York State Education Department and a license and current registration to practice as a Registered Professional Nurse (RPN) in New York State in order to qualify for this examination.

In general, the standard physical exam typically includes: Vital signs: blood pressure, breathing rate, pulse rate, temperature, height, and weight. Vision acuity: testing the sharpness or clarity of vision from a distance. Head, eyes, ears, nose and throat exam: inspection, palpation, and testing, as appropriate.

Connecticut State regulations require that all students in grades 6 and 10 have a complete health assessment form completed by their physician. All asterisked items MUST be completed and then the form is to be signed by the licensed health care provider and submitted to the building nurse.

New York State law requires that each child in a school district have a health examination including body mass index before entering school for the first time, and again in grades 1, 3, 5, 7, 9, 11. Students wishing to play interscholastic sports or requesting work permits must have an annual health exam.

Education Law requires all public school districts and boards of cooper- ative educational services employ at least one registered professional nurse in each school building. Section 3 is the effective date. JUSTIFICATION: Nurses are the primary caregivers in our public schools.

For Students The Pennsylvania Public School Code Section 1402. Health Services (e) requires that students upon original entry, sixth grade and 11th grade be given a "comprehensive appraisal" of their health. The physical is to be completed within 4 months prior to the start of the school year.

CALIFORNIA STATE LAW REQUIRES THAT ALL CHILDREN ENTERING FIRST GRADE HAVE A COMPLETE PHYSICAL EXAM. They must also be up-to-date on their shots. The school entry health check-up is crucial in finding health problems, such as vision or hearing problems, which could interfere with a child's performance in school.

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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