CCSD 89 health forms

All Kids Health Care application

All Kids Health Care Application.pdf 2.02 MB (Last Modified on April 4, 2017)

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Certificate of Child Health Examination

child-health-exam-form-revised-01-31-2024.pdf 1.95 MB (Last Modified on February 6, 2024)

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Certificate of Religious Exemption

Certificate of Religous Exemption.pdf 86.41 KB (Last Modified on April 4, 2017)

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Childhood Lead Risk Questionnaire

childhood-lead-risk-questionaire-and-guidelines-042116.pdf 230.66 KB (Last Modified on June 2, 2017)

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Eye Examination Report

eye-examination-report-050216.pdf 178.4 KB (Last Modified on January 8, 2021)

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Pre-Participation Form (sports physical)

Preparticipation sports physical.pdf 96.29 KB (Last Modified on April 4, 2017)

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Proof of Dental Examination Form

ProofofDentalExam1920.pdf 199.11 KB (Last Modified on December 3, 2019)

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School Medication/Self-Administration Authorization Form

7.270-F2 Medication Authorization rev 0424.pdf 141.11 KB (Last Modified on May 3, 2024)

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Severe Allergy Survey

500.285-F1 Severe Allergy Survey.pdf 253.38 KB (Last Modified on May 3, 2018)

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CCSD 89 health emergency action plans