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DE School Physical Examination Form 2008-2025 free printable template

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DELAWARE SCHOOL PHYSICAL EXAMINATION FORM To be completed by licensed medical physician, nurse practitioner or physician s assistant. Name: Sex: Date: Examiner: DOB: PLEASE CHECK IF CHILD HAS HAD
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How to fill out DE School Physical Examination Form

01
Obtain the DE School Physical Examination Form from your school or educational institution.
02
Fill out the student's personal information at the top of the form, including name, date of birth, and grade.
03
Provide information about the student's medical history, including allergies, medications, and previous illnesses or conditions.
04
Have a licensed physician conduct a physical exam of the student, ensuring all required tests and evaluations are completed.
05
Document the results of the physical examination on the form, including height, weight, vision, hearing, and any other relevant findings.
06
Sign and date the form at the bottom, ensuring that the physician includes their professional information and license number.
07
Submit the completed form to the appropriate school official or office as instructed.

Who needs DE School Physical Examination Form?

01
All students enrolling in a Delaware school for the first time.
02
Students participating in school sports and athletic programs.
03
Students transferring from another school or educational institution.
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The DE School Physical Examination Form is a document used to record the physical health and medical history of students, typically required for school enrollment and participation in school activities.
Students entering school for the first time, transferring from another school, or participating in certain sports or activities may be required to file the DE School Physical Examination Form.
The form should be filled out by a licensed healthcare provider who conducts the physical examination, detailing the student's medical history, physical fitness, and any necessary immunization information.
The purpose of the DE School Physical Examination Form is to ensure that students are in good health and capable of participating safely in school activities, as well as to monitor any health issues that may require attention.
The form must report the student's medical history, results of the physical examination, immunization status, and any allergies or medical conditions that the school should be aware of.
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