Rhode island school physical form 2010-2025

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  1. Click ‘Get Form’ to open the Rhode Island School Physical Form 2010 in the editor.
  2. Begin by filling in the 'School Name & Address' and 'Health Care Provider Name and Address' sections. Ensure all details are accurate for proper documentation.
  3. Enter the student's personal information, including their name, address, date of birth, sex, and home phone number. This information is crucial for identification.
  4. Complete the immunization section by entering dates in MM/DD/YYYY format for each vaccine received. If applicable, check any exemptions.
  5. Fill out the physical examination details such as height, weight, and blood pressure. Note any health problems or allergies that may affect the student at school.
  6. Ensure that a health care provider signs the form at the bottom after reviewing all provided information.

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