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Form #86 Revised 8/21CIVIL RIGHTS COMPLIANCE School Food Authority: ___ School/Site: ___ Complete the sections below based on the ethnicity and race of students who are directly certified or who fall
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The revised form is an updated version of the www.coursehero.com/annual-medical-exam-form-86doc form.
The revised form must be filed by individuals who need to update their medical exam information.
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The form requires individuals to report their medical exam results, any changes in health conditions, and medications they may be taking.
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