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HEALTH ASSESSMENT/SPORTS PHYSICAL STATEMENT (HASPS) for CDs SERVICES ENROLLMENT, Renewal & SPORTS PHYSICAL Requirements Revised 08Jan 09DATA REQUIRED BY THE PRIVACY ACT OF 1994 PRINCIPAL PURPOSE:
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How to fill out cys health assessment form
How to fill out cys health assessment form
01
Obtain a copy of the CYS health assessment form from your child's school or daycare.
02
Fill out the personal information section including your child's name, date of birth, and contact information.
03
Answer the questions regarding your child's medical history, including any allergies, chronic conditions, or medications they are currently taking.
04
Provide information about your child's immunization history including dates of vaccinations and any exemptions they may have.
05
Sign and date the form, certifying that the information provided is accurate and complete.
Who needs cys health assessment form?
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Parents or guardians of children attending schools or daycares that require a CYS health assessment form.
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