Epstein Secrets

school. Conference conducted (Indicate datets)) PBSD 0768 (Rev. 6/98) Goldenrod/1st Period Pink/2nd Period Canary/3rd Period Green/4th Period White/Office Copy EFTA01709615 THE SCHOOL DISTRICT OF PALM BEACH COUNTY Grade Sh ELEMENTARY REPORT CARD Year 19 9 7 -19 9 8 Student Teacher MARKING CODES

sician or Clinic Name: (Print or stamp) Address: Expiration Date: (15 days after ant inuntuthafteei appointment) hvsician or ignature: Date: Permanent Medical Exemption PART C For medically contraindicated immun exemption: DOE Code 3 tions, list each vaccine and state valid clinical reasoning or evidence for I ce

placement will be determined by the home school. PBSD 0768 (Rev. 7/99) Goldenrod/1st Period Pink/2nd Period Canary/3rd Period Green/4th Period White/Office Copy EFTA01710225 THE SCHOOL DISTRICT OF PALM BEACH COUNTY 2000- ort for Grades 1-5 Se DEM GRADE 2000-2001 ACADEMIC IMPROVEMENT PLAN STATUS

ic Name: 05•days after next immuilization.appoiutrnent) (Print or stamp) . . _ . . . • Physician or Address: Authorized Signature: Date: Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 I c

placement Mil be determined by the borne school. PHD 0788 (Rev. 7/94) GoidenrodHst Period PInkJind Period Canary/3rd Period Greionflte Period White/Office Copy EFTA01710141 THE SCHOOL DISTRICT OF PALM BEACH COUNTY Elementary Student Transfer To Be Completed for All Transfers (Print or Type) LAST

rvice Address: Riviera Bea L 33404 Phone: Expiration Date: (IS days after next Physician or Authorized Signatu A. 41/21-4goo/ w 7 3.0) •, Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 / c