Get the free KINDERGARTEN PHYSICAL EXAMINATION FORM - scc k12 wi

KINDERGARTEN PHYSICAL EXAMINATION FORM ST. CROIX CENTRAL SCHOOL DISTRICT STUDENTS NAME DATE OF BIRTH DATE OF EXAMINATION PARENT/GUARDIAN NAME MEDICAL HISTORY Chronic Illness: Allergies: Medications:

How to fill out kindergarten physical examination form

How to fill out a kindergarten physical examination form:

1. Start by carefully reading through the entire form to understand the information and requirements.
2. Fill in the child's personal information accurately, including their full name, date of birth, address, and contact information.
3. Provide the necessary details about the child's medical history, including any medications, allergies, or chronic conditions they may have.
4. Record information about the child's immunization history, including the dates and types of vaccines they have received.
5. Include any additional medical information that may be relevant, such as previous surgeries, hospitalizations, or ongoing treatments.
6. If required, have a healthcare provider complete and sign the section where a professional must certify the child's physical exam.
7. Review the form to ensure all sections are filled out correctly and completely.
8. Sign and date the form, indicating your consent for the provided information to be shared and used for medical purposes.
9. Keep a copy of the completed form for your records before submitting it to the kindergarten or appropriate authority.

Who needs a kindergarten physical examination form:

1. Kindergarten students: Most kindergartens require parents/legal guardians to submit a physical examination form for their child before enrollment.
2. School administration: Kindergarten physical examination forms are necessary for schools to ensure the health and safety of their students.
3. Healthcare providers: Physicians, pediatricians, and other healthcare professionals may need to review and complete these forms to certify a child's physical condition before starting kindergarten.

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