Health Forms (English)

Emergency Care Plan Form 151

Emergency Care Plan - English Form 151.pdf 355.4 KB (Last Modified on June 24, 2021)

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Immunization Requirements (starting July 1, 2019)

Updated Immunization Requirements-English_July1_2019.pdf 147.26 KB (Last Modified on January 28, 2019)

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Medical Consent Form 156

Medical_Consent_Form_156_-_English_2021.pdf 94.07 KB (Last Modified on June 24, 2021)

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Medical Examiner's Statement Form 147-E

Medical-Examiner-Statement-Form147E-English-2020.pdf 212.36 KB (Last Modified on March 10, 2020)

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Medication Authorization Form 157

Medication_Authorization-Form157-English_2021.pdf 196.77 KB (Last Modified on June 24, 2021)

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Student Health Inventory Form 143

Student Health Inventory Form English.pdf 93.28 KB (Last Modified on October 5, 2018)

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Tuberculosis Clearance Form 603

TB Clearance Form English.pdf 374.51 KB (Last Modified on October 5, 2018)

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Health Forms (Spanish)

Emergencia Médica/Plan De Salud - Form 151

Emergency Care Plan - Spanish Form 151.pdf 347.35 KB (Last Modified on June 24, 2021)

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Requisitos de inmunización (A partir del 1 de julio de 2019)

Updated Immunization Requirements-Spanish_July1_2019.pdf 127.04 KB (Last Modified on January 28, 2019)

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Consentimiento Médico - Form 156

Medical_Consent_Form_156_-_Spanish_2021.pdf 108.68 KB (Last Modified on June 24, 2021)

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Declaración del Examinador Médico - Form 147-E

Medical Examiner Statement Form Spanish.pdf 234.16 KB (Last Modified on October 5, 2018)

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Autorización Para Tomar Medicinas - Form 157

Medication-Authorization-Form157-Spanish_2021.pdf 222.13 KB (Last Modified on June 24, 2021)

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Formulario de Inventario de Salud del Estudiante - Form 143

Student Health Inventory Form Spanish.pdf 56.5 KB (Last Modified on October 5, 2018)

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Formulario para la Presentación de el Certificado de Ausenica de Tuberculosis - Form 603

TB Clearance Form Spanish.pdf 371.7 KB (Last Modified on October 5, 2018)

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醫療緊急指引/健康護理計劃 Form 151

Emergency Care Plan - Chinese Form_151.pdf 1.09 MB (Last Modified on June 24, 2021)

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圣马刁联合高中区学生的免疫要求 (2019 年 7 月 1 日起)

Updated Immunization Requirements-Chinese_July1_2019.pdf 369.15 KB (Last Modified on January 28, 2019)

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授權使用或公開健康資訊 Form 156

Medical_Consent_Form_156_-_Chinese_2021.pdf 334.02 KB (Last Modified on June 24, 2021)

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体检医师声明 Form 147-E

Form 147-E Medical Examiners Statement Chinese.pdf 379.46 KB (Last Modified on April 19, 2018)

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在學校期間服用藥物的授權 Form 157

Medication-AuthorizationForm157-Chinese_2021.pdf 685.15 KB (Last Modified on June 24, 2021)

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學生健康清單 Form 143

Form 143 Student Health Inventory Chinese.pdf 81.8 KB (Last Modified on April 19, 2018)

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無肺結核表格 Form 163

Form 603 TB Clearance Form Chinese.pdf 359.76 KB (Last Modified on April 19, 2018)

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