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| Commonwealth of Virginia School Entrance Health Form (MCH-213F) | School Entrance Health Form which includes the Health Information Form to be completed by the parent/guardian and the Comprehensive Physical Examination Report and Certification of Immunization to be completed by the physician/medical provider. | | {Click here to download the file.} Commonwealth_of_VA_School_Entrance_Physical.pdf, 165.60 KB, 5/25/2007 | |
| Health Information Form | Part one of the Commonwealth of Virginia School Entrance Health Form | | {Click here to download the file.} Memo_Number_09.40_-_Attachment.pdf, 298.43 KB, 5/29/2009 | |
| Religious Exemption for Immunizations | Form to be completed by parent stating administration of immunizing agents conflicts with religious tenets or practices. | | {Click here to download the file.} Religious_Exemption_to_Immunizations.PDF, 14.40 KB, 3/13/2006 | |
| Restricted Activity Checklist | This is a form completed by a physician indicating activities the student CAN perform while recovering from illness or injury. | | {Click here to download the file.} Restricted_Activity_Checklist.pdf, 43.06 KB, 10/8/2008 | |
| | Please Click the icon to download the file. Note: PC users should Right-Click to download the file to their computer. Apple users should Option-Click to download the file to their hard drive. |
Last Modified on 7/26/2010 5:19:40 PM
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