Ae 608 10 1a form 2026

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The document outlines the Child, Youth, and School Services Health Assessment/Sports Physical form (AE Reg 608-10-1), which is required for verifying children's health and immunization status for participation in various programs. It includes sections for personal information, medical history, assessments by healthcare professionals, and special considerations for participation in sports and other activities. The form emphasizes the importance of providing accurate health information to ensure safety and compliance with program requirements.

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Click ‘Get Form’ to open the ae 608 10 1a form in the editor.
Begin with Part A, entering your home telephone, sponsor's name, and contact details. Ensure you provide the last four digits of the sponsor's SSN and indicate your child's health information accurately.
In the medical history section, check 'Yes' or 'No' for each condition listed. If applicable, provide explanations for any ongoing medical concerns or medications.
Proceed to Part B, where a licensed independent practitioner will complete the medical staff assessment. Ensure all fields are filled out correctly regarding height, weight, and visual acuity.
Finally, in Part C, describe any special medical considerations needed for your child’s participation in programs. Make sure to include signatures from both the healthcare professional and parent/guardian.

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Versions	Form popularity	Fillable & printable
2014	4.8 Satisfied (141 Votes)
2011	4.4 Satisfied (332 Votes)

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