
Los Angeles Community College District P-402 2008-2025 free printable template
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LOS ANGELES COMMUNITY COLLEGES HUMAN RESOURCES 770 WILSHIRE BOULEVARD LOS ANGELES, CA 90017 ANNUAL PHYSICAL / EYE EXAMINATION CERTIFICATION This form is used to verify absence time due to the completion
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How to fill out laccd annual physical form

How to fill out the LACCD annual physical form:
01
Obtain the form: The LACCD annual physical form can be obtained from your school's administration office or downloaded from the LACCD website.
02
Read the instructions: Carefully read through the instructions provided on the form. This will give you an overview of the information required and how to properly fill out the form.
03
Personal information: Begin by filling out your personal information such as your full name, date of birth, address, and contact information.
04
Health history: Provide accurate information about your health history, including any medical conditions, allergies, medications you are currently taking, and any past surgeries or hospitalizations.
05
Immunization records: Fill out the section regarding your immunization records. This may require you to provide information about vaccines you have received, such as measles, mumps, rubella, tetanus, and hepatitis.
06
Medical examination: Schedule a medical examination with a healthcare provider. During the examination, the healthcare provider will assess your overall health, perform any necessary tests, and complete the required sections of the form, including documenting vital signs, vision, hearing, and any recommended treatments or follow-ups.
07
Signature: Once all the required sections of the form are complete, sign and date the form.
Who needs the LACCD annual physical form?
01
Student athletes: The LACCD annual physical form is often required for student athletes participating in sports programs. It ensures that they are in good health and able to safely engage in physical activities.
02
Health science students: Students pursuing health science programs, such as nursing or dental hygiene, may need to fill out the form as part of their program requirements.
03
Other students and employees: Depending on the policies of each specific college within the LACCD, other students or employees may be required to complete the annual physical form. It is best to check with your school or department to determine if this applies to you.
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People Also Ask about
How many schools are there in LACCD?
The LACCD consists of nine colleges and covers an area of more than 882 square miles.
How many community colleges are in Los Angeles County?
As an individual school, each of Los Angeles County's (LAC) 19 community colleges offers its local constituents tremendous resources for building both a satisfying career and a fulfilling life.
How many colleges are in LACCD?
The LACCD consists of nine colleges and covers an area of more than 882 square miles.
What schools are LACCD?
Translate this page East Los Angeles College. Los Angeles City College. Los Angeles Harbor College. Los Angeles Mission College. Los Angeles Pierce College. Los Angeles Southwest College. Los Angeles Trade-Technical College. Los Angeles Valley College.
What schools are apart of LACCD?
Translate this page East Los Angeles College. Los Angeles City College. Los Angeles Harbor College. Los Angeles Mission College. Los Angeles Pierce College. Los Angeles Southwest College. Los Angeles Trade-Technical College. Los Angeles Valley College.
How many students are in LACCD?
Currently, LACCD enrolls about 205,000 full- and part-time students at its nine colleges. For the 2021-22 Academic Year, enrollment was 202,735 students. The Los Angeles College Promise Program entered its sixth year of operations with the fall term of the 2022–2023 Academic Year.
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What is laccd annual physical form?
The LACCD annual physical form is a document that needs to be completed by all employees for the purpose of reporting any physical changes or conditions that may affect their ability to perform their job duties.
Who is required to file laccd annual physical form?
All employees of LACCD are required to file the annual physical form.
How to fill out laccd annual physical form?
To fill out the LACCD annual physical form, employees must provide information about any physical changes or conditions they may have, as well as information about their healthcare provider.
What is the purpose of laccd annual physical form?
The purpose of the LACCD annual physical form is to ensure that employees are physically capable of performing their job duties and to provide necessary accommodations if needed.
What information must be reported on laccd annual physical form?
Employees must report any physical changes or conditions that may affect their ability to perform their job duties, as well as information about their healthcare provider.
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