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H511.340 (Rev. 5/2019)SCHOOL PERSONNEL HEALTH RECORD (FOR USE AFTER OFFER OF EMPLOYMENT HAS BEEN MADE) I. INFORMATION School Position OfferedLast NameFirstMISexHome Photocell Phonemicizing Address:
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To fill out the school personnel health record, follow these steps:
02
Obtain the school personnel health record form from the school administration or download it from the school's website.
03
Provide your personal information such as name, contact details, date of birth, and social security number (if required).
04
Fill in your past medical history, including any chronic conditions, allergies, surgeries, and medications you are currently taking.
05
Provide details about your emergency contact person, including their name, relationship to you, and contact information.
06
Fill out any specific sections related to your position in the school, such as immunization records, tuberculosis screening results, and physical examination details.
07
Sign and date the form to verify the accuracy of the information provided.
08
Return the completed school personnel health record form to the designated school personnel or administration office.

Who needs school personnel health record?

01
School personnel, including teachers, administrators, support staff, and volunteers, need to fill out the school personnel health record. This record is necessary to ensure the safety and well-being of all individuals within the school environment. It helps to identify any potential health risks, provide appropriate medical care in case of emergencies, and ensure compliance with health regulations and policies.
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A school personnel health record is a document that contains information about the health status of the individuals working in a school.
All school personnel, including teachers, administrators, and staff, are required to file their health records.
School personnel can fill out their health records by providing accurate information about their medical history, current health status, and any medical conditions they may have.
The purpose of school personnel health records is to ensure the health and safety of school staff and students, and to provide necessary medical information in case of emergencies.
Information such as medical history, current medications, allergies, and emergency contact information must be reported on school personnel health records.
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