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LH SAA MEDICAL HISTORY EVALUATION IMPORTANT: This form must be completed annually, kept on file with the school, & is subject to inspection by the Rules Compliance Team. Please Print Name:School:Central

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What is importantthis form must be?

This form must be important for collecting data.

Who is required to file importantthis form must be?

All employees are required to file this form.

How to fill out importantthis form must be?

You can fill out this form online or submit a physical copy.

What is the purpose of importantthis form must be?

The purpose of this form is to gather necessary information.

What information must be reported on importantthis form must be?

All relevant information must be reported on this form.