|
The entrance requirements for school entry include several forms that become
a part of the Student's Health Folder.
Health Forms Required For School Entrance:
Physical Examination
Immunization Form
|
Florida Statute 1003.22 requires that each
child initially entering a public or private school in the state
present documentation of a physical examination performed within
one year prior to enrollment (registration date). The health
exam should contain evidence that indicates the examination of
the body systems (heart, skin, respiratory, etc.) and functions;
certify that the student has no contagious or communicable
disease which would warrant the student's exclusion from school;
and indicate any special conditions which would warrant special
considerations for the student.
Physical
examinations may be documented on:
-
Form DH 3040 or
equivalent
which meets the above requirements and is signed by a
medical doctor (MD), doctor of osteopathy (DO),
chiropractor (CP), physician’s assistant (PA), or an
advanced registered nurse practitioner (ARNP) and
includes the printed or stamped name and address of the
signatory.
Physical
examinations must: |
- be within twelve (12) months prior to
the initial entry into a Florida school
- show a full body systems check
- heart
- lungs
- chest
- abdomen
- postural assessment
- eyes/ears/nose throat etc.
- contain the doctor's signature and contact
information
- be written in English
Not acceptable as proof of
physical examination
- Appointment cards
- Prescription pad notes stating that a
physical was given
- A bill showing payment for physical
- A doctor's slip showing height, weight
and blood work
Certificate of Immunization (680 Form) - All Florida doctors or staff
at any of the Department of Health Immunization offices can transfer
immunization records onto this form. This form should be obtained prior to
school registration. The Certificate of Immunization must include the
provider's name, address and have a physician or authorized signature. If
the form is the 2-sided version, both sides must be presented to be valid.
The immunization requirements by grade level can be printed out by following
the link below:
11/12 Immunization
Flyer
11/12 Immunization
Flyer - Russian
11/12 Immunization
Flyer - Spanish
11/12 Immunization
Flyer - Ukrainian
Sample 680 Form
CDC Recommended Immunization Schedule
Other non-health
entry requirements | 
