Document Mentions (3 shared documents)

EFTA01709788

2 mentions1 same-page

Page ?Same page

to County High School Schedule Compatibility (Ct.:W."0;year onln a" •t . • State specific reasons w

back of Special Characteristics Card 5.Registration Forms - most recent on top 6.Cumulative Health Record - Immunizations. Birth Certificate and Physical Examination stapled in- side 7.Other legal information, such as court order, affi- davits and correspondence from community agencies 8.Standardized Test Data

EFTA01709855

2 mentions1 same-page

Page ?Same page

CORDS caeftifiration of 3Birtb.N) WM NNW ALE W. MO DAV. VW* 07-14-87 0.0 on. •(a. comwm ALLE

ic Condition 0 Respiratory Illness 0 it Seizure Disorder 0_ Skin Disorder 0 Vl Vision Disorder 0 III Other (Specify) 0 Sof Report of Physical Examination Normal Abnormal If Abnormal, Explain • Height (inches) V • • Weight (pounds) V • Pulse ( ) I.Vr • Blood Pressure l/ • Hair/Scalp ve- •

EFTA01710073

2 mentions1 same-page

Page ?Same page

,5241C NI GATE Of 041M I Ic rl-OCE Ct (16(7.1 W. AMDENT VOUS C:3 0. PleNaatIp0OCT 0 1 curmann

ovide documentation of the items checked below. YOUR CHILD HAY NOT ATTEND SCHOOL UNTIL THIS INFORMATION HAS BEEN PROVIDED. 1. T.B. Test 2. Physical Examination 3. Hepatitis B 4. DPT/ OT 5. Polio 6. MMR - 1st , 2nd 3rd . For the safety and protection of your child and the school system, sc