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Nurse practitioner / Nursing / Mental health professional


Maryland Schools Record of Physical Examination To Parents or Guardians: In order for your child to enter a Maryland Public school for the first time, the following are
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Document Date: 2014-06-05 21:18:49

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File Size: 173,18 KB

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MedicalCondition

seizure / Lead Poisoning / Yes No Comments Allergies / Concern Head Eyes ENT Dental Attention Deficit/Hyperactivity Behavior/Adjustment Development Hearing Respiratory Cardiac GI GU Musculoskeletal/orthopedic Neurological Skin Endocrine Psychosocial Immunodeficiency Lead Exposure/Elevated Lead Learning Disabilities/Problems Mobility Nutrition Physical Illness / Allergies (Seasonal) Asthma / certain childhood communicable diseases / diabetes / insect sting allergy / asthma / /

MedicalTreatment

immunization / immunizations / catheterization / /

Organization

Maryland State Department of Education / Department of Health / Maryland Public school / Mental Hygiene Maryland State Department / /

Person

Injury Heart / /

Position

health department official / physician / Phone No. Physician/Nurse / school nurse / physician /nurse / Concern Head / certified nurse / nurse / Head / /

ProvinceOrState

Maryland / /

Technology

pdf / /

URL

http /

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