Epstein Secrets

d has commenced a satiate to complete the required immunizations. Additional inrmanbsolions an not medically indicated at this tine. Physicist's or Clinic MOM: (Print or stamp) Address: 'Exisiritakita rt t arT1 COS dap nitia rrili Physician or Authorised Shalom: Date: Permanent Medical Exe

ncluding page 2 12 NBR:1SS STDT CRS:1503350 SEC:00 BLDG:02 RM:GYM 08 11 4 Qs) Students will receive non-invasive health screenings pursuant to Florida Statute § 381.0056(7)(d). Non-Invasive screenings may include vision, hearing, scohosis, height, and weight. These tests may be given individually or in groups. Parents or

call (for kindergarten effective with the 200//7002 school year) for school attendance as documented on the reverse side of this form. Physician or Clinic Physician or (Print or stamp) uthorized Signatur Ad Date: Certificate of Immunization Supplement for 7ib Grade Requirement PART A-2 (Immunizat

None 3. Is the student who Is enrolling in school a single parent? 0 Yes 0 No N 4. Students will receive non-Invasive health screenings pursuant to Florida Statute § 381.0056(7)(d). Non-invasive screenings may include vision, hearing, scoliosis, height, and weight. These tests may be given individually or in groups. Parents or

call (for kindergarten effective with the 200//7002 school year) for school attendance as documented on the reverse side of this form. Physician or Clinic Physician or (Print or stamp) uthorized Signatur Ad Date: Certificate of Immunization Supplement for 7ib Grade Requirement PART A-2 (Immunizat

None 3. Is the student who Is enrolling in school a single parent? 0 Yes 0 No N 4. Students will receive non-Invasive health screenings pursuant to Florida Statute § 381.0056(7)(d). Non-invasive screenings may include vision, hearing, scoliosis, height, and weight. These tests may be given individually or in groups. Parents or