School nurse health assessment form 2025

1. Click ‘Get Form’ to open the school nurse health assessment form in the editor.
2. Begin with Section 1, where you will enter your child's first and last name, birth date, gender, and race/ethnicity. Ensure all fields are filled accurately for proper identification.
3. Continue by providing the school name, grade, and teacher's name. This information helps the school maintain accurate records.
4. In Section 2, leave space for the dental professional to complete their assessment details. They will indicate the assessment date and check if visible caries or fillings are present.
5. The dental professional will also assess treatment urgency. Make sure they sign and date this section after completing their evaluation.
6. If you need to request a waiver in Section 3, check the appropriate box that describes your reason for exemption and provide any additional details as necessary.
7. Finally, ensure that you sign and date at the bottom of Section 3 before submitting the form.

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