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Health Services Department SCHOOL HEALTH SCREENING QUESTIONNAIRE Name of child: Date of birth: Grade: School: Name of person filling out questionnaire Relationship to student Name of doctor/clinic:
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How to fill out school health screening questionnaire

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Who needs school health screening questionnaire?

01
All students attending the school: The school health screening questionnaire is typically required for all students attending the school, regardless of grade level or age. This ensures that every student's health status is assessed and monitored.
02
School staff and faculty: In addition to students, school staff and faculty members may also be required to complete the health screening questionnaire. This helps maintain a safe and healthy environment for everyone in the school community.

How to fill out school health screening questionnaire?

01
Obtain the questionnaire: The school health screening questionnaire can usually be obtained from the school administration or downloaded from the school's website. Make sure you have the latest version of the form.
02
Provide personal information: Start by filling out the personal information section of the questionnaire. This typically includes your full name, date of birth, grade level, and contact details. Ensure that all the information provided is accurate and up to date.
03
Answer health-related questions: The questionnaire will include a series of health-related questions. Read each question carefully and answer truthfully. Common questions may include any recent illnesses or symptoms, exposure to contagious diseases, and any chronic health conditions or medications. Be thorough and provide as much detail as possible.
04
Provide emergency contact information: The questionnaire may require you to provide emergency contact information. Make sure you have the contact details of at least one trusted individual who can be reached in case of an emergency.
05
Sign and date the form: Once you have completed all the required sections of the questionnaire, sign and date the form. This indicates that you have provided accurate information to the best of your knowledge and understand the importance of the health screening process.
06
Return the completed form: Follow the instructions provided by the school regarding the submission of the completed questionnaire. This is usually done by returning the form to the designated school personnel or office.
Make sure to comply with any deadlines or additional instructions provided by the school to ensure timely processing of the questionnaire and to avoid any potential disruptions to school attendance.
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The school health screening questionnaire is a form used to assess the health status of students attending a school.
Parents or guardians are usually required to fill out and submit the school health screening questionnaire.
Parents or guardians can fill out the school health screening questionnaire by providing accurate information about the student's health history and current health status.
The purpose of the school health screening questionnaire is to identify any health issues or concerns that may affect a student's ability to learn or participate in school activities.
The school health screening questionnaire may require information such as the student's medical history, any existing medical conditions, medications being taken, and contact information for healthcare providers.
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