Ct health forms 2010-2025

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4.4 out of 5

51 votes

The document is a Health Assessment Record from the State of Connecticut Department of Education, designed to collect essential health information about students from their parents or guardians. It outlines the legal requirements for immunizations and health assessments prior to school entry and during specific grade levels. The form includes sections for personal information, health history, and medical evaluations by healthcare providers, ensuring that school personnel are informed of each child's health needs to provide appropriate educational support.

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Click ‘Get Form’ to open the ct health forms 2010 in the editor.
Begin by filling out Part I, which requires information from the parent or guardian. Enter your child's name, birth date, and contact details accurately.
Indicate your child's gender and race/ethnicity by selecting the appropriate options provided in the form.
Complete the health history questions by circling 'Y' for yes or 'N' for no. Provide explanations for any 'yes' answers in the designated space.
In Part II, ensure that a qualified health care provider completes and signs the medical evaluation section after conducting a physical examination.
Review all entries for accuracy before saving or sharing your completed form. Utilize our platform's features to easily export or send it directly to relevant parties.

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Versions	Form popularity	Fillable & printable
2012	4.9 Satisfied (394 Votes)
2010	4.4 Satisfied (51 Votes)

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