Epstein Secrets

ic (Print or Stamp) Add ACES, FLORIDA 33401 days after next Immunization appointment) Physician or Authorized Slgnat ed a schedule to I t o Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 cer

Content Content Areas Petals Earned POSIt$ PossM1e Percent Words/Phrases ..,, Main Idea/Purpose Comparisons % Reference/Research Reading Content - Content scores give more specific information about the skills on the FCAT. Grade level expectations for students include: • Words and Phrases -uses skits

• (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

tent Areas Points Earned Points Possfolo Words/Phrases 7 13 Main idea/Purpose 11 20 Comparisons 10 12 Reference/Rases:et 5 9 Reading Content - Content scores give more specific information about the skills on the FCAT. Grade level expectations for students include: • Words and Phrases -uses skills

Clinic Name: Expiration Date: (Print or sump) (15 days after next immunization appointment) 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 - -

ent Areas Ports Earned Points Possible Words/Phrases 11 13 Main Idea/Purpose 15 I8 Comparisons 11 14 Ftelerence/Reserach 7 9 Reading Content - Content scores give more specific information about the skills on the FCAT. Grade level expectations for students include: • Words and Phrases -uses skills

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

ng Content Content Areas Points Earned Fonts Possible Words/Phrases 13 Main Idea/Purpose 20 Comparisons 12 Reference/Research 9 Reading Content - Content scores give more specific information about the skills on the FCAT. Grade level expectations for students include: • Words and Phrases -uses skills

Clinic Name: Expiration Date: (Print or sump) (15 days after next immunization appointment) 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 - -

ent Areas Ports Earned Points Possible Words/Phrases 11 13 Main Idea/Purpose 15 I8 Comparisons 11 14 Ftelerence/Reserach 7 9 Reading Content - Content scores give more specific information about the skills on the FCAT. Grade level expectations for students include: • Words and Phrases -uses skills