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  • Hi Ed Form 14 2001

Get Hi Ed Form 14 2001-2026

E High: Year (Mother/Guardian) Entry Date (Father/Guardian) Please complete the following sections (CHECK IF YES) Allergy (type) Asthma Vision Problems / / / / / / Entry Date MEDICAL STATUS Cancer/Leukemia Chronic Cough/Wheezing Diabetes Hearing Problems Heart Disease Hemophilia Rheumatic Heart Sickle Cell Anemia Seizures / / / / / / / / / / / / / / TUBERCULOSIS EXAMINATION MANTOUX TEST (INTRADERMAL) / / / / / Date / / Results (mm) Physician, APRN, PA, or Clinic.

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How to fill out the HI ED Form 14 online

The HI ED Form 14 is an important document used to record a student's health history and medical status. This guide provides clear, step-by-step instructions to help users fill out the form accurately and effectively online.

Follow the steps to complete your HI ED Form 14 online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the student's last name in the designated field, followed by their first name and middle initial. Provide the student's birthdate by filling in the month, day, and year sections.
  3. Record the parent or guardian's name in the provided sections, distinguishing between the mother/guardian and father/guardian as necessary.
  4. Indicate the student's grade level by checking the relevant box for Elementary, Intermediate/Middle, or High.
  5. Complete the medical status section by checking any applicable boxes for allergies, asthma, vision problems, and other listed medical conditions.
  6. In the tuberculosis examination section, provide the date of the Mantoux test along with the results measured in millimeters.
  7. Fill out the dental examination section by providing the location and any results as required.
  8. List all immunizations and their corresponding dates, ensuring to follow the prompts for each vaccine as specified in the form.
  9. Complete the physician’s examination by documenting findings, including weight, height, and blood pressure, along with any significant recommendations.
  10. At the end of the form, review all entered information for accuracy. Save your changes, and choose to download, print, or share the completed form as needed.

Complete your HI ED Form 14 online today to ensure accurate health records for your student.

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