Health Appraisal form - Viewmont Elementary School - viewmontelementary 2026

1. Click ‘Get Form’ to open the Health Appraisal form in the editor.
2. Begin by filling in the student’s name, parent/guardian details, and contact information in the designated fields.
3. Indicate the date of birth and select the sex of the student using the checkboxes provided.
4. Complete the visual acuity section by entering the right and left eye measurements, both with and without correction.
5. In section II, check whether the student is free from illnesses affecting scholastic or sports performance. If there are medical conditions, list them clearly.
6. If there are activity restrictions, specify them in section III along with their effective dates.
7. For any medications prescribed for school use, fill out their details including dosage and timing in section IV.
8. Finally, ensure that a physician's signature is included at the bottom of the form before saving or sharing it.

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