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1 of 2 DELAWARE SCHOOL PHYSICAL EXAMINATION FORM To be completed by licensed medical physician, nurse practitioner or physician s assistant. Name: Sex: DOB: Date: Examiner: PLEASE CHECK IF CHILD HAS
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How to fill out delaware school physical examination

How to fill out Delaware school physical examination:
01
Download the Delaware school physical examination form from the official Delaware Department of Education website.
02
Fill out the student's personal information section accurately, including their name, date of birth, address, and contact information.
03
Provide the student's medical history, including any previous conditions, allergies, medications, and surgeries.
04
Ensure that all required immunizations are up to date and properly documented. The immunization section may require the dates and records of vaccines such as MMR, DTaP, polio, Hepatitis B, and varicella.
05
Schedule an appointment with a licensed healthcare provider, such as a physician or nurse practitioner, to conduct the physical examination. This examination will include a review of the student's overall health, vital signs, vision and hearing screening, and assessment of any potential health concerns.
06
Complete the healthcare provider section of the form, including their professional information, signature, and date of the examination.
07
If the student has any specific health conditions or disabilities, provide any necessary documentation or accommodation requests in the appropriate section of the form.
08
Review the completed form for accuracy and make sure all required information and signatures are included.
09
Submit the completed Delaware school physical examination form to the school or education institution as per their specific instructions. Make sure to keep a copy for your records.
Who needs Delaware school physical examination:
01
Delaware school physical examination is required for all students entering Delaware schools, including public, private, and charter schools.
02
It is mandatory for students enrolling in pre-kindergarten, kindergarten, and grade levels 1, 3, 5, 7, and 9. Additionally, students transferring from out-of-state schools or home schooling are also required to undergo a physical examination.
03
The Delaware school physical examination ensures the health and well-being of students and helps identify any underlying medical conditions or vaccinations that may be necessary for the student's safety and the safety of others in the school environment.
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What is delaware school physical examination?
Delaware school physical examination is a medical evaluation required for students entering a Delaware school.
Who is required to file delaware school physical examination?
All students entering a Delaware school are required to file a school physical examination.
How to fill out delaware school physical examination?
Delaware school physical examinations can be filled out by a licensed healthcare provider, such as a doctor or nurse practitioner.
What is the purpose of delaware school physical examination?
The purpose of delaware school physical examination is to ensure that students are in good health and able to participate in school activities.
What information must be reported on delaware school physical examination?
Delaware school physical examinations typically include information such as medical history, immunizations, and physical exam findings.
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