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THEHOTCHKISSSCHOOL WIELERHEALTHCENTER REQUIREDSTUDENTHEALTHEXAM TOBECOMPLETEDBYHEALTHCAREPROVIDERPLEASERETURNBYJULY15th 11InterlakenRoad Lakeville,CT06039 Fax:8604352422NAME: DATEOFBIRTH: I.PHYSICALEXAMINATION
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How to fill out new student physical and

01
Gather all necessary documents such as student information form, medical history form, and consent form.
02
Fill out the student information form with accurate personal details like name, address, date of birth, and emergency contact information.
03
Provide complete medical history by answering all questions related to previous illnesses, allergies, medications, and surgeries.
04
Sign the consent form, acknowledging your permission for the physical examination.
05
Submit all filled-out forms to the designated department or healthcare provider.
06
Attend the scheduled appointment for the physical examination.
07
Follow any further instructions or recommendations provided by the healthcare provider.

Who needs new student physical and?

01
New students who are enrolling in a school or educational institution typically need to complete a new student physical examination.
02
The physical examination ensures that the student is in good health and can participate in various activities and educational programs.
03
It is mandatory for the safety and well-being of the student, as well as to identify any potential health issues that require attention.
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New student physical form is a document that needs to be completed by students who are enrolling in a school for the first time.
New students who are enrolling in a school for the first time are required to file the new student physical form.
The new student physical form can be filled out by providing the required information such as medical history, immunizations, and any physical assessments.
The purpose of the new student physical form is to ensure that the student is in good health and able to participate in school activities.
Information such as medical history, immunization records, and any physical assessments must be reported on the new student physical form.
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