Universal Physical Form - This form may be used for clearance for sports or physical education. I give my consent for my child’s health care provider and child care provider/school nurse to discuss the information on this form. It is my opinion that he/she is medically cleared to participate fully in all child care/school activities, including physical education and competitive. As such, please check the box above the signature line and make. Please enter the date of the physical exam that is being used to complete the form. Please have your physician complete the attached universal child health record when receiving his/her physical. Note significant abnormalities especially if the child needs.
Note significant abnormalities especially if the child needs. It is my opinion that he/she is medically cleared to participate fully in all child care/school activities, including physical education and competitive. As such, please check the box above the signature line and make. Please enter the date of the physical exam that is being used to complete the form. Please have your physician complete the attached universal child health record when receiving his/her physical. This form may be used for clearance for sports or physical education. I give my consent for my child’s health care provider and child care provider/school nurse to discuss the information on this form.
Please have your physician complete the attached universal child health record when receiving his/her physical. Note significant abnormalities especially if the child needs. It is my opinion that he/she is medically cleared to participate fully in all child care/school activities, including physical education and competitive. Please enter the date of the physical exam that is being used to complete the form. I give my consent for my child’s health care provider and child care provider/school nurse to discuss the information on this form. As such, please check the box above the signature line and make. This form may be used for clearance for sports or physical education.
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It is my opinion that he/she is medically cleared to participate fully in all child care/school activities, including physical education and competitive. Note significant abnormalities especially if the child needs. I give my consent for my child’s health care provider and child care provider/school nurse to discuss the information on this form. Please enter the date of the physical exam.
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Please enter the date of the physical exam that is being used to complete the form. Please have your physician complete the attached universal child health record when receiving his/her physical. It is my opinion that he/she is medically cleared to participate fully in all child care/school activities, including physical education and competitive. This form may be used for clearance.
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Please enter the date of the physical exam that is being used to complete the form. This form may be used for clearance for sports or physical education. As such, please check the box above the signature line and make. Note significant abnormalities especially if the child needs. It is my opinion that he/she is medically cleared to participate fully.
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I give my consent for my child’s health care provider and child care provider/school nurse to discuss the information on this form. As such, please check the box above the signature line and make. Note significant abnormalities especially if the child needs. Please enter the date of the physical exam that is being used to complete the form. It is.
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Please enter the date of the physical exam that is being used to complete the form. Note significant abnormalities especially if the child needs. As such, please check the box above the signature line and make. Please have your physician complete the attached universal child health record when receiving his/her physical. This form may be used for clearance for sports.
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This form may be used for clearance for sports or physical education. As such, please check the box above the signature line and make. Please enter the date of the physical exam that is being used to complete the form. Note significant abnormalities especially if the child needs. Please have your physician complete the attached universal child health record when.
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This form may be used for clearance for sports or physical education. Please enter the date of the physical exam that is being used to complete the form. Note significant abnormalities especially if the child needs. As such, please check the box above the signature line and make. Please have your physician complete the attached universal child health record when.
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This form may be used for clearance for sports or physical education. Please enter the date of the physical exam that is being used to complete the form. It is my opinion that he/she is medically cleared to participate fully in all child care/school activities, including physical education and competitive. Please have your physician complete the attached universal child health.
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Note significant abnormalities especially if the child needs. This form may be used for clearance for sports or physical education. As such, please check the box above the signature line and make. I give my consent for my child’s health care provider and child care provider/school nurse to discuss the information on this form. Please enter the date of the.
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This form may be used for clearance for sports or physical education. As such, please check the box above the signature line and make. Please enter the date of the physical exam that is being used to complete the form. Note significant abnormalities especially if the child needs. I give my consent for my child’s health care provider and child.
As Such, Please Check The Box Above The Signature Line And Make.
Please have your physician complete the attached universal child health record when receiving his/her physical. Note significant abnormalities especially if the child needs. It is my opinion that he/she is medically cleared to participate fully in all child care/school activities, including physical education and competitive. Please enter the date of the physical exam that is being used to complete the form.
I Give My Consent For My Child’s Health Care Provider And Child Care Provider/School Nurse To Discuss The Information On This Form.
This form may be used for clearance for sports or physical education.