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PLEASANTVILLE MIDDLE SCHOOL MEDICAL HISTORY Students Name Date of Last Tetanus Shot Any Past Surgery Please check if your child has: Allergies/ Hay fever Bladder/Kidney Problem Ear Problems Wears
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How to fill out the Pleasantville Middle School Medical form:

01
Start by gathering all the necessary information, such as the student's personal details, emergency contact information, and previous medical history.
02
Open the PMS Medical form and begin by filling out the student's full name, date of birth, and grade level.
03
Move on to the section asking for the student's address, including street, city, state, and ZIP code.
04
Provide the primary contact information, including the parent or guardian's name, phone number, and email address.
05
Fill out the emergency contact details, including the name, relationship to the student, phone number, and alternative contact information, if applicable.
06
Proceed to the medical history section and carefully provide information regarding any chronic conditions, allergies, medications, or other relevant medical information.
07
If the student requires any specific medical accommodations or has an Individualized Education Program (IEP), ensure that you indicate it clearly on the form.
08
Finally, review the form for any mistakes or missing information before signing and dating it.
09
Submit the completed PMS Medical form to the appropriate school staff or follow the specified procedure for submission.

Who needs the Pleasantville Middle School Medical form?

01
All students attending Pleasantville Middle School are required to fill out and submit the Medical form.
02
This form helps the school maintain up-to-date medical records for each student and ensures that proper care is provided in case of emergencies.
03
By completing the form, parents or guardians ensure that the school is aware of any existing medical conditions, allergies, or medications that may require attention.
Note: The content in the example above is randomly generated and does not reflect accurate information about Pleasantville Middle School or its medical form. Please refer to the school's official documentation for accurate instructions and requirements.
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Pleasantville Middle School Medical is a form that students need to submit annually to provide information about their medical history and emergency contacts.
All students attending Pleasantville Middle School are required to file the medical form.
Parents or guardians can fill out the Pleasantville Middle School Medical form with accurate medical information and emergency contact details.
The purpose of Pleasantville Middle School Medical form is to ensure that the school has necessary medical information and emergency contacts for each student.
The form requires information about the student's medical history, allergies, current medications, and emergency contact details.
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