Epstein Secrets

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

oint. Dab Run Dale: 05/11/2002 0343813 EFTA01709693 north Co kursive Assessment Test Spring 2002 Florida Comprehensive Assessment Test (FCAT) Sunshine State Standards - Grade 08 Student Report Satinbei Dis'del Name and Number 50 - PALM BEACH The FCAT is a test developed in Florida to measure student achievement of the Sunshine St

• (Print or Stamp) Address: Expirati0n Date' _Olitlazufttstualimaadzatisin atipSathunD *LI Physician or 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

347-370 Level 3: 310.349 310.346 Level 2: 271-309 280-309 Level 1: 100.270 100-279 Spring 2002 Florida Comprehensive Assessment Test (FCAT) Sunshine State Standards - Grade 08 Student Report • Florida Comprehensive Assessment Test The FCAT is a test developed in Florida to measure student achievement of the Sunshine State Standa

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

TESTED MATH 03S: PBSO 0280 FRT EFTA01710129 F Florida Comprehensive Assessment Test Spring 2002 Florida Comprehensive Assessment Test (FCAT) Sunshine State Standards - Grade 08 Student Report MN= School Name and Number 1691 - CRESTWOOD MIDDLE District Name and Number SO - PALM BEACH The FCAT is a test developed in Florida to m