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MASSACHUSETTS SCHOOL HEALTH RECORD Health Care Providers Examination Name Male Female Date of Birth Medical History Pertinent Family History Current Health Issues Y N Allergies: Please list: Medications

How to fill out massachusetts school health record

How to Fill Out Massachusetts School Health Record:

1. Obtain the required form: Start by obtaining the Massachusetts School Health Record form from your child's school or the Massachusetts Department of Public Health website. Make sure you have the most up-to-date version.
2. Personal information: Begin by filling out your child's personal information accurately. This includes their full name, date of birth, address, and contact details. Be sure to double-check for any spelling errors or inaccuracies.
3. Immunization history: Provide complete and accurate information about your child's immunization history. List all the vaccines they have received, including the date and the healthcare provider who administered each vaccine. Massachusetts has specific immunization requirements for school admission, so make sure your child is in compliance.
4. Health history: Fill out your child's health history by answering the questions listed on the form. This may include information about chronic illnesses, allergies, medications, surgeries, or any other relevant medical condition. Be thorough and provide all necessary details, ensuring nothing is omitted.
5. Physical exam: Schedule a physical examination for your child with their healthcare provider. The form will require you to provide details of this examination, including the date, the healthcare provider's name, and their signature. It is important to note that physical exams must be conducted within the last 12 months for school admission in Massachusetts.
6. Vision and hearing screening: Massachusetts requires vision and hearing screening for school admission. Consult your child's healthcare provider to ensure these screenings have been completed according to the necessary requirements. Provide the results and any additional information as requested on the form.
7. Additional requirements: The Massachusetts School Health Record form may have additional sections that require completion. These may include dental screenings, tuberculosis (TB) screening, or any other specific requirements mandated by the school or the state. Carefully read and fill out these sections accordingly.

Who needs Massachusetts School Health Record?

1. Students entering Massachusetts schools: The Massachusetts School Health Record is required for all students entering schools in the state. It ensures that students' health information is properly documented and allows schools to address any specific health needs or concerns.
2. Parents or legal guardians: It is the responsibility of parents or legal guardians to ensure the completion of the Massachusetts School Health Record. They are required to provide accurate information about their child's health history, immunization records, and any other relevant medical details.
3. Healthcare providers: Healthcare providers play a crucial role in completing certain sections of the Massachusetts School Health Record. They conduct physical examinations, administer vaccines, and provide necessary screenings. Their expertise and accurate documentation are vital to ensuring students' health needs are properly addressed.

Note: Please refer to your child's specific school or the Massachusetts Department of Public Health for any additional requirements or guidelines related to the completion of the Massachusetts School Health Record.

For pdfFiller’s FAQs

What is massachusetts school health record?

The Massachusetts school health record is a form that contains information about a student's health history, immunizations, and any medical conditions that may affect their ability to learn.

Who is required to file massachusetts school health record?

Parents or guardians are typically required to file the Massachusetts school health record for their children before they start school.

How to fill out massachusetts school health record?

Parents or guardians can fill out the Massachusetts school health record by providing information on their child's health history, immunizations, and any medical conditions.

What is the purpose of massachusetts school health record?

The purpose of the Massachusetts school health record is to ensure that schools have important health information about students in case of emergencies or to provide appropriate healthcare support.

What information must be reported on massachusetts school health record?

The Massachusetts school health record must include information about the student's immunizations, allergies, medications, and any chronic health conditions.

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