Universal Physical Form - Note significant abnormalities especially if the child needs. I give my consent for my child’s health care provider and child care provider/school nurse to discuss the information on this form. It is my opinion that he/she is medically cleared to participate fully in all child care/school activities, including physical education and competitive. Please enter the date of the physical exam that is being used to complete the form. As such, please check the box above the signature line and make. This form may be used for clearance for sports or physical education. Please have your physician complete the attached universal child health record when receiving his/her physical.
As such, please check the box above the signature line and make. Note significant abnormalities especially if the child needs. Please enter the date of the physical exam that is being used to complete the form. I give my consent for my child’s health care provider and child care provider/school nurse to discuss the information on this form. This form may be used for clearance for sports or physical education. Please have your physician complete the attached universal child health record when receiving his/her physical. It is my opinion that he/she is medically cleared to participate fully in all child care/school activities, including physical education and competitive.
As such, please check the box above the signature line and make. Note significant abnormalities especially if the child needs. Please have your physician complete the attached universal child health record when receiving his/her physical. I give my consent for my child’s health care provider and child care provider/school nurse to discuss the information on this form. It is my opinion that he/she is medically cleared to participate fully in all child care/school activities, including physical education and competitive. This form may be used for clearance for sports or physical education. Please enter the date of the physical exam that is being used to complete the form.
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I give my consent for my child’s health care provider and child care provider/school nurse to discuss the information on this form. Please have your physician complete the attached universal child health record when receiving his/her physical. This form may be used for clearance for sports or physical education. As such, please check the box above the signature line and.
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Please enter the date of the physical exam that is being used to complete the form. Please have your physician complete the attached universal child health record when receiving his/her physical. As such, please check the box above the signature line and make. I give my consent for my child’s health care provider and child care provider/school nurse to discuss.
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Please have your physician complete the attached universal child health record when receiving his/her physical. I give my consent for my child’s health care provider and child care provider/school nurse to discuss the information on this form. It is my opinion that he/she is medically cleared to participate fully in all child care/school activities, including physical education and competitive. Note.
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As such, please check the box above the signature line and make. It is my opinion that he/she is medically cleared to participate fully in all child care/school activities, including physical education and competitive. Note significant abnormalities especially if the child needs. Please enter the date of the physical exam that is being used to complete the form. This form.
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Note significant abnormalities especially if the child needs. I give my consent for my child’s health care provider and child care provider/school nurse to discuss the information on this form. As such, please check the box above the signature line and make. Please have your physician complete the attached universal child health record when receiving his/her physical. Please enter the.
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Note significant abnormalities especially if the child needs. Please have your physician complete the attached universal child health record when receiving his/her physical. Please enter the date of the physical exam that is being used to complete the form. As such, please check the box above the signature line and make. This form may be used for clearance for sports.
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As such, please check the box above the signature line and make. It is my opinion that he/she is medically cleared to participate fully in all child care/school activities, including physical education and competitive. This form may be used for clearance for sports or physical education. Note significant abnormalities especially if the child needs. Please have your physician complete the.
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It is my opinion that he/she is medically cleared to participate fully in all child care/school activities, including physical education and competitive. This form may be used for clearance for sports or physical education. As such, please check the box above the signature line and make. Note significant abnormalities especially if the child needs. Please enter the date of the.
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Please enter the date of the physical exam that is being used to complete the form. It is my opinion that he/she is medically cleared to participate fully in all child care/school activities, including physical education and competitive. Note significant abnormalities especially if the child needs. I give my consent for my child’s health care provider and child care provider/school.
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I give my consent for my child’s health care provider and child care provider/school nurse to discuss the information on this form. As such, please check the box above the signature line and make. This form may be used for clearance for sports or physical education. It is my opinion that he/she is medically cleared to participate fully in all.
As Such, Please Check The Box Above The Signature Line And Make.
This form may be used for clearance for sports or physical education. Note significant abnormalities especially if the child needs. I give my consent for my child’s health care provider and child care provider/school nurse to discuss the information on this form. Please have your physician complete the attached universal child health record when receiving his/her physical.
It Is My Opinion That He/She Is Medically Cleared To Participate Fully In All Child Care/School Activities, Including Physical Education And Competitive.
Please enter the date of the physical exam that is being used to complete the form.