Pa state school physical exam form 2026

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  1. Click ‘Get Form’ to open the PA State School Physical Exam Form in the editor.
  2. Begin by entering the date of examination at the top of the form, followed by the name of the school and homeroom details.
  3. Fill in the child's personal information including their name, date of birth, sex, and address. Ensure all fields are completed accurately.
  4. In the medical history section, document any immunizations received by entering the month, day, and year for each vaccine listed. Circle the appropriate vaccine type.
  5. If applicable, provide details regarding any medical exemptions or significant medical conditions that may affect the child’s education or require special attention.
  6. Complete the report of physical examination section by filling in height, weight, pulse, blood pressure, and other health assessments as required.
  7. Finally, ensure that both the examiner's signature and contact information are included before saving or sharing your completed form.

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