Embedded Files
Below are some commonly used medical forms for your convenience.
Fill out your childs' Annual Student Emergency and Medical Information form online.
https://docs.google.com/forms/d/e/1FAIpQLSdej4jw5iFsEccIUYrK4IUWrEdFgCRfxevgUNb8DcYlkM34Jw/viewform
Private Dental Exam Form
Copy of Dental Exam.pdfConsent to Release Information
M-68-Consent-for-release-of-information (1).pdfPhysical Examination Form
MEH-1 Physical Exam.pdfStudent Emergency/Medical Information Form
S865.pdfImmunization Requirements
School_Immunization_Requirements.pdfMedication Administration Form- General
Med-1.pdfMedication Administration Form- Asthma
Med1 Asthma.pdfMedication Administration Form- Seizures
Med 1 Seizure.pdfCity of Philadelphia Federally Qualified Health Centers
FQHCs-Immunization-Program-List-2018(2).pdfPage updated
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