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Dublin City School DistrictPreschool Health Assessment RecordStudents 5112 F2 Revised 10/23/17-Page 1 of 2Childs name: Birthdate: Gender:Male height: Weight: Female: physical ASSESSMENT Physical Exam:
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How to fill out 5112 f2 preschool health
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01
To fill out 5112 f2 preschool health form, follow these steps:
02
Write the child's name, date of birth, and address in the specified sections.
03
Provide information about the parent/guardian, including their name, contact number, and address.
04
Specify the preschool or daycare center the child attends.
05
Mention any health conditions or allergies the child may have.
06
Fill in details about the child's immunization history, including the dates and types of vaccines received.
07
Indicate any medications the child is currently taking and the dosage.
08
Provide emergency contact information of a person who can be reached in case of an emergency.
09
Sign and date the form to confirm the accuracy of the provided information.
10
Submit the completed form to the relevant authority or institution.
Who needs 5112 f2 preschool health?
01
5112 f2 preschool health form is required for parents/guardians of preschool-aged children.
02
It is typically needed when enrolling a child in a preschool or daycare program.
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The form helps ensure that the child's health and medical information is readily available and can be accessed in case of emergencies.
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What is 5112 f2 preschool health?
5112 f2 preschool health is a form used to report the health status and wellness activities of preschool aged children.
Who is required to file 5112 f2 preschool health?
Preschools, daycare centers, and other organizations catering to preschool aged children are required to file 5112 f2 preschool health.
How to fill out 5112 f2 preschool health?
To fill out 5112 f2 preschool health, one must provide information on the health status of the children, wellness activities offered, and any health-related incidents that occurred.
What is the purpose of 5112 f2 preschool health?
The purpose of 5112 f2 preschool health is to monitor and improve the health and wellness of preschool aged children in educational settings.
What information must be reported on 5112 f2 preschool health?
Information such as current health status of children, wellness activities provided, and any health-related incidents must be reported on 5112 f2 preschool health.
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