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What is Scoliosis Referral
The Scoliosis Referral Form is a medical consent document used by the School District of Philadelphia to notify parents and guardians of potential scoliosis findings during school screenings.
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How to fill out the Scoliosis Referral
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1.To access the Scoliosis Referral Form, visit pdfFiller's website and log in to your account.
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2.Use the search bar to find 'Scoliosis Referral Form' and select it to open the document.
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3.Before filling out the form, gather necessary information such as the child's personal details and any prior evaluations.
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4.Begin by filling in the child's name, grade, and school information in the designated fields.
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5.Proceed to the physician section, ensuring the evaluating physician's name and license number are clearly entered.
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6.Use the checkboxes to indicate any observations made during the screening; be sure to check all that apply.
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7.Provide recommendations according to your findings in the corresponding section of the form.
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8.Once all fields are filled, review the document for any missing information or errors.
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9.Finalize the form by having the physician sign in the signature line provided.
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10.After completing the document, save your progress by clicking the save button in pdfFiller.
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11.You can then download or print the completed form, or opt to submit it directly through pdfFiller as instructed.
Who is eligible to complete the Scoliosis Referral Form?
The Scoliosis Referral Form must be completed by a physician after a scoliosis screening has identified potential issues and requires the feedback of a qualified medical professional.
Is there a deadline for submitting this referral form?
While specific submission deadlines may vary, it is advisable to complete and return the Scoliosis Referral Form promptly after the screening to ensure timely evaluation and treatment.
How do I submit the completed Scoliosis Referral Form?
Completed forms can be submitted by delivering them directly to the school office, or you may choose to submit through the pdfFiller platform if online submission is available.
What supporting documents are required with the Scoliosis Referral Form?
Typically, no additional supporting documents are required, but prior medical records or previous evaluation notes may be helpful if available.
What are common mistakes to avoid when filling out this form?
Ensure all fields are completed correctly, especially the physician's signature and recommendations. Omitting vital information can delay processing.
How long does it take to process the Scoliosis Referral Form?
Processing times can vary, but schools typically review submitted forms within 1-2 weeks to facilitate timely follow-up appointments.
Can a parent or guardian sign the form instead of the physician?
No, only a qualified physician can complete and sign the Scoliosis Referral Form, as it requires a medical professional's evaluation.
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