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SCOLIOSIS SCREENING WAIVER FORM
State law (Education Code Section 49452.5) requires that school districts in California
provide scoliosis screening for seventh grade female students and eighth grade
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How to fill out scoliosis screening waiver form

How to Fill Out the Scoliosis Screening Waiver Form:
01
Start by carefully reading the instructions provided on the form. Make sure you understand the purpose of the form and what information needs to be filled out.
02
Begin by providing your personal information. This typically includes your name, date of birth, address, contact number, and email address.
03
Next, you may be required to provide additional details such as your gender, ethnicity, and medical history. Fill out these sections accurately and honestly.
04
The form may ask about any previous scoliosis screenings or treatments you have undergone. If applicable, provide the necessary information, including dates and outcomes.
05
If you are filling out the form on behalf of a minor or someone who is unable to do so themselves, ensure you have the necessary legal authority or consent to sign the waiver on their behalf.
06
Carefully review the information you have provided to ensure accuracy and completeness. Double-check spellings and dates to avoid any mistakes.
07
Once you are satisfied with the information you have provided, sign and date the form at the designated area. If required, also provide the name and signature of a witness.
Who Needs a Scoliosis Screening Waiver Form:
01
Students: Many schools and educational institutions may require students to undergo scoliosis screenings. In such cases, parents or legal guardians often need to fill out the scoliosis screening waiver form on behalf of their children.
02
Athletes: Sports teams, athletic programs, and fitness facilities may request individuals to undergo scoliosis screenings before participating in activities that put strain on the spine. Those individuals may need to complete the scoliosis screening waiver form to provide their consent or to waive any liability.
03
Medical Facilities: Certain medical facilities or healthcare providers may require patients to fill out a scoliosis screening waiver form before undergoing specific procedures or treatments that may potentially impact the spine.
Remember, the specific situations and individuals who may require a scoliosis screening waiver form can vary. Always refer to the instructions provided by the organization or institution requesting the form to determine if you need to fill it out.
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