PAUSD Physician Report and Student Health and Education Plan 2013-2025 free printable template

PALO ALTO UNIFIED SCHOOL DISTRICT HEALTH OFFICE Linda Lenoir, RN MSN Lenoir pause.org Phone 650-329-3766 Fax 650-833-4226 PHYSICIAN REPORT AND STUDENT HEALTH AND EDUCATION PLAN School: Student: Date

How to fill out PAUSD Physician Report and Student Health

How to fill out PAUSD Physician Report and Student Health and

1. Obtain the PAUSD Physician Report and Student Health form from the PAUSD website or school office.
2. Fill out the student's personal information at the top of the form, including their full name, date of birth, and school information.
3. Have a licensed physician complete the medical evaluation section, including any relevant medical history and vaccinations.
4. Ensure the physician signs and dates the form to validate the information provided.
5. Submit the completed form to the school nurse or designated school official by the required deadline.

Who needs PAUSD Physician Report and Student Health and?

1. Students who are entering kindergarten or first grade.
2. Students who are transferring from another school district.
3. Students with specific health concerns that need to be documented for school records.
4. Any student participating in sports or other physical activities requiring medical clearance.

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What is PAUSD Physician Report and Student Health?

The PAUSD Physician Report and Student Health is a document that includes medical information related to a student's health and fitness for school attendance, which must be completed by a licensed physician.

Who is required to file PAUSD Physician Report and Student Health?

Students entering the PAUSD school system for the first time, those transferring from another district, and students who have specific health concerns or conditions may be required to file the PAUSD Physician Report and Student Health.

How to fill out PAUSD Physician Report and Student Health?

To fill out the PAUSD Physician Report and Student Health, a parent or guardian should provide the necessary information to a licensed physician, who will complete the medical assessment portion of the report, including any relevant health history and immunization records.

What is the purpose of PAUSD Physician Report and Student Health?

The purpose of the PAUSD Physician Report and Student Health is to ensure that students are medically fit to attend school, to identify any health-related needs or accommodations, and to maintain accurate health records for the district.

What information must be reported on PAUSD Physician Report and Student Health?

The PAUSD Physician Report and Student Health must report information such as the student's medical history, immunization status, any chronic health conditions, medications, and any recommendations for school accommodations.