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Signature of Health Provider Date SFUSD School Health Form page 1 2011/2012 GUIDE TO IMMUNIZATIONS REQUIRED FOR SCHOOL ENTRY Grades K-12 REFERENCE Health and Safety Code Division 105 Part 2 Chapter 1 Sections 120325-120380 California Code of Regulations Title 17 Division 1 Chapter 4 Subchapter 8 Sections 6000-6075 grades kindergarten through 12 children under age 18 years must have immunizations as outlined below.
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How to fill out school health forms:

01
Gather all necessary information: Collect all required personal and medical information such as full name, date of birth, address, emergency contacts, current and previous medications, allergies, immunization records, and any chronic medical conditions or disabilities.
02
Read the instructions carefully: Review the directions provided on the school health form to ensure that you understand all the requirements and sections to be completed. Pay attention to any specific guidelines or additional documents that need to be attached.
03
Complete the student details: Fill in the student's personal information accurately, including their full name, date of birth, grade, and current school.
04
Provide emergency contact information: Write down the names, phone numbers, and relationships of at least two emergency contacts who can be reached in case of any health-related issues or emergencies.
05
Document the medical history: Indicate any previous or current medical conditions, allergies, or disabilities that the student may have. Include specific details, such as the name of the condition, the date of diagnosis, and any relevant treatments or medications.
06
Record immunization records: Note down the dates of immunizations received, including vaccines for diseases like measles, mumps, rubella, tetanus, and polio. Make sure the records are up-to-date and attach any relevant documentation from healthcare providers.
07
Obtain necessary signatures: Sign the consent and authorization sections as required. This may include giving permission for healthcare professionals to treat the student in case of an emergency, allowing the sharing of medical information with designated school staff, or granting permission for the student to participate in particular activities.
08
Review and submit the forms: Double-check all information entered on the school health forms for accuracy and completeness. Make sure all required sections have been filled out. Organize any additional documents requested, such as medical reports or physical examination results, and submit the completed forms by the specified deadline.

Who needs school health forms:

01
Students of all age groups: From kindergarten to high school, all students are typically required to fill out school health forms.
02
Transfer or new students: Students who join a school during the academic year or transfer from another school often need to submit health forms to ensure their medical records are up-to-date and to provide vital information for the school nurse or health office.
03
Students participating in sports or extracurricular activities: Many schools require students involved in sports or other extracurricular activities to complete health forms to ensure they are physically fit to participate and to provide emergency contact and medical information in case of injuries or medical issues.
04
Students with specific medical conditions: Students with chronic medical conditions, allergies, or disabilities often need to submit additional health forms that provide detailed information about their conditions, medication requirements, emergency plans, and any necessary accommodations to be made by the school.
05
Field trip participants: Students participating in school field trips may need to fill out additional health forms, particularly if the trip involves travel, outdoor activities, or potential health risks.
06
Preschool and daycare attendees: Health forms may also be required for young children attending preschool or daycare centers to ensure their safety and provide necessary medical information to the school staff.
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A health form for school is a document that provides information about a student's medical history, immunizations, and any medications they may need while at school.
Typically, parents or guardians are required to file a health form for school for their children, especially for new students or those entering specific grade levels.
To fill out a health form for school, parents or guardians should gather the child's medical history, including immunization records, allergies, and any ongoing medical conditions, and complete the form with accurate and up-to-date information.
The purpose of a health form for school is to ensure that the school is aware of any health issues that may affect the student, to maintain a safe environment, and to comply with legal and health regulations.
Information that must be reported on a health form for school typically includes the child's immunization records, medical history, allergies, any medications the child requires, and emergency contact information.
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