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The information supplied will be used as medical history when providing health care is strictly for the use of our health services and will not be released without the student s consent. Name Date of Birth/ / Last First MI Month/ day/ year B/P Pulse Height ft in. Weight lbs Corrected Vision Right Eye 20/ Left Eye 20/ Urinalysis Date Sugar Albumin Tuberculin Mantoux required yearly for International students Date NegativePositivemm If positive Chest x-ray date Results B.C.G. International Students Date SYSTEM Head Ears Nose or Throat Respiratory Cardiovascular Gastrointestinal Hernia Eyes other than Acuity Genitourinary Musculoskeletal Metabolic/Endocrine Neuropsychiatric Skin Teeth Menstrual normal Immunization Record Fill in all vaccines received month day and year Note minimum requirements DPT /DTaP/Td Tdap booster Polio MMR Measles Mumps Rubella Meningococcal MCV4 or A C Y W-135 after age 11 Hepatitis B Varivax Dose 1 Dose 4 Dose 5 Dose 2 Dose 3 Varicella Chicken Pox disease date CO....

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How to fill out the Cheshire Academy Immunization Form online

Filling out the Cheshire Academy Immunization Form online is a straightforward process that ensures all required immunization records are accurately submitted. This guide provides step-by-step instructions to help you complete the form efficiently.

Follow the steps to easily complete the immunization form.

  1. Click ‘Get Form’ button to access the document and open it in your preferred editor.
  2. Begin by entering the student’s name and date of birth in the designated fields at the top of the form. Make sure to write the last name, first name, and middle initial followed by the date formatted as month/day/year.
  3. Complete the health measurements section by providing information on blood pressure, pulse, height, and weight. Ensure that you fill in accurate figures to reflect the physical condition of the student.
  4. Record vision information for each eye, noting corrected vision if applicable. This includes entering data for the right and left eye.
  5. Fill out the urinalysis results and tuberculin Mantoux test dates. Indicate if the result is negative or positive and provide any required follow-up details if positive.
  6. For the immunization record section, fill in all vaccines received along with the respective dates. This includes DPT, polio, MMR, meningococcal, hepatitis B, and varicella.
  7. Answer questions regarding the student’s medical history, including any ongoing treatments, allergies, and conditions requiring emergency action at school. Provide specific details where applicable.
  8. Include any recommendations for physical activity, clearly indicating if they are unlimited or limited, and specify any limitations if necessary.
  9. Ensure that the healthcare provider signs and dates the form. Include their contact information as requested.
  10. Once all sections have been filled out correctly, save changes to the document, and proceed to download, print, or share the immunization form as needed.

Complete the Cheshire Academy Immunization Form online today to ensure a smooth registration process.

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The mascot of Cheshire Academy is the Cats. This symbol represents the school's spirit and pride. As a student, you will enjoy a vibrant community that embraces both academic and athletic excellence. It's an integral part of life at Cheshire Academy.

Applying to Cheshire Academy involves filling out an online application form and submitting necessary documentation such as transcripts and recommendations. It’s important not to overlook the Cheshire Academy Immunization Form, as it is a mandatory requirement for enrollment. Make sure to review all application instructions carefully to ensure a smooth process.

Getting into Cheshire Academy involves several key steps that guide prospective students through the admission process. First, students should research the academic offerings, prepare their application materials, and plan their school visits. It's also crucial to submit the Cheshire Academy Immunization Form timely as part of the requirements, demonstrating your readiness to join this exceptional educational environment.

Cheshire Academy offers a rich educational experience, combining rigorous academics with a variety of extracurricular opportunities. With dedicated faculty and a supportive community, students often find their needs met holistically. Families exploring options frequently point out the importance of completing the Cheshire Academy Immunization Form to ensure a smooth enrollment process, allowing students to focus on their learning.

Many prospective students wonder about the admission process at Cheshire Academy. Factors such as academic performance, extracurricular involvement, and personal essays play a significant role. Although the admission process can be competitive, especially considering the popularity of programs and services offered, students who prepare thoroughly, including having their Cheshire Academy Immunization Form ready, can enhance their application.

Cheshire Academy does not have a strict uniform policy, but it encourages students to dress appropriately as per the dress code. While uniforms are not mandatory, adhering to the guidelines helps maintain a respectful school culture. Remember to submit your Cheshire Academy Immunization Form along with your application, as this document is part of the overall enrollment process.

Cheshire Academy has a history of notable alumni who have achieved success in various fields, including sports, arts, and business. These individuals often credit their experiences at Cheshire Academy for shaping their futures. By enrolling and completing the required Cheshire Academy Immunization Form, you can join a long legacy of successful graduates.

Cheshire Academy is known for its academic excellence, diverse extracurricular programs, and supportive community. The school offers a robust curriculum that prepares students for college and beyond, emphasizing critical thinking and leadership skills. To enroll and take advantage of its offerings, be sure to complete the Cheshire Academy Immunization Form and other application requirements.

The Cheshire Academy mascot is the Catamount, which represents strength and agility. The mascot embodies the spirit of the school, encouraging students to participate in various activities, including sports and community events. Joining the school community requires submitting the Cheshire Academy Immunization Form, so it's essential to complete it timely to partake in these spirited activities.

Gaining admission to Cheshire Academy can be competitive, as the school seeks students who demonstrate strong academic abilities and personal qualities. The application process requires careful preparation, including submitting a Cheshire Academy Immunization Form along with other necessary documents. Prospective students should focus on showcasing their strengths in their applications to enhance their chances of acceptance.

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