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REQUEST FORM FOR DISTRICT PUPIL HEALTH SERVICES School Year Ending June 2025 The State of Minnesota has authorized local public school districts to allow pupils attending a nonpublic school, (includes
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How to fill out district pupil health services

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How to fill out district pupil health services

01
Obtain the necessary forms from the district pupil health services department.
02
Fill out the student's personal information including name, date of birth, address, and contact information.
03
Provide information about the student's medical history, including any chronic conditions or allergies.
04
Specify any medications the student is currently taking and provide contact information for their healthcare provider.
05
Sign and date the form to confirm the accuracy of the information provided.

Who needs district pupil health services?

01
District pupil health services are needed by all students enrolled in the district to ensure their medical needs are met while at school.
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District pupil health services refer to the health services provided to students within a school district to promote their overall well-being and academic success.
District pupil health services are typically filed by the school district's health services department or designated personnel.
District pupil health services are typically filled out by documenting the health services provided to students, including screenings, immunizations, and any health-related accommodations.
The purpose of district pupil health services is to ensure students have access to necessary health services that support their physical, mental, and emotional well-being.
District pupil health services typically include information on student health screenings, immunization records, health-related accommodations, and any health services provided within the school district.
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