Get the free Revised 5/1/14 Page 1 of 3 COPY this Clearance Form for the student to return to the...

Revised 5/1/14-Page 1 of 3 COPY this Clearance Form for the student to return to the school. KEEP the complete document in the students medical record. 20142015 SPORTS QUALIFYING PHYSICAL EXAMINATION

How to fill out revised 5114 page 1

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7. Keep a copy of the filled-out form for your records before submitting it to the appropriate authority or department.

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