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PositionH511.340 (Rev. 4iOO)COMMONWEALTH OF PENNSYLVANIAPENNSYLVANIA DEPARTMENT OF HEALTHSCHOOL PERSONNEL HEALTH Records NameFirstMISocial Security Numerate of BirthSexWork TelephoneHome TelephoneMailing
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How to fill out school personnel health record

01
Gather the necessary information such as the employee's personal details, contact information, and emergency contacts.
02
Include a section for the employee's medical history, including any allergies, chronic conditions, or previous surgeries.
03
Ask the employee to provide a list of current medications they are taking.
04
Include a section for the employee to indicate if they have any physical limitations or disabilities.
05
Provide space for the employee to attach any relevant medical documents or reports.
06
Make sure to include a section for the employee to provide emergency medical authorization, including contact information for their primary care physician.
07
Review the completed form with the employee to ensure all necessary information is provided and accurate.
08
Store the completed school personnel health record in a secure location, accessible only to authorized personnel.

Who needs school personnel health record?

01
All school personnel, including teachers, administrative staff, janitors, and any other individuals employed by the school, need to have a school personnel health record on file.
02
This is important for the safety and well-being of both the individual and the entire school community.
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School personnel health record is a document that contains information about the health status of school staff members.
All school personnel are required to file their health records.
School personnel can fill out the health record by providing accurate and up-to-date information about their health status.
The purpose of school personnel health record is to ensure that the school staff members are healthy and able to perform their duties.
The health record must include information such as medical history, vaccinations, allergies, and current medications.
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