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Kenosha Unified School District PHYSICIAN VERIFICATION FOR school Medical Virtual Instruction Program ATTENTION: The Medically Necessary Virtual Instruction Program (ME DVI) provides instruction for
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How to fill out special eschool program medical

01
Obtain the necessary forms from the school's office or website.
02
Fill out the personal information section accurately, including full name, address, contact information, and date of birth.
03
Provide detailed medical history information, including any chronic conditions, allergies, medications being taken, and previous surgeries or procedures.
04
Have a healthcare provider complete the section requiring a medical examination and provide any necessary documentation or additional information.
05
Review the completed form for accuracy and completeness before submitting it to the school's health services department.

Who needs special eschool program medical?

01
Students who have medical conditions or require special accommodations during school hours.
02
Students participating in sports or extracurricular activities that may pose a higher risk of injury.
03
Students with specific dietary restrictions or allergies that require monitoring by school staff.
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The special eschool program medical is a specialized program designed to provide medical services to students in the eschool system.
The program administrator or designated medical staff are required to file the special eschool program medical.
The special eschool program medical form must be filled out with the student's medical information, services needed, and the healthcare provider's details.
The purpose of the special eschool program medical is to ensure that students with medical needs receive appropriate care and support while attending eschool.
The special eschool program medical must include the student's medical history, current medical needs, prescribed medications, and emergency contact information.
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