Form PM171 B Waiver of Health Examination for School Entry - California

What Is Form PM171 B?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form PM171 B?
A: Form PM171 B is a waiver of health examination for school entry in California.

Q: What is the purpose of Form PM171 B?
A: The purpose of Form PM171 B is to waive the requirement of a health examination for school entry.

Q: Who needs to fill out Form PM171 B?
A: Parents or guardians of students in California who want to waive the health examination requirement for school entry need to fill out Form PM171 B.

Q: Is Form PM171 B applicable for all schools in California?
A: Yes, Form PM171 B is applicable for all schools in California.

Q: What information is required on Form PM171 B?
A: Form PM171 B requires general information about the student, the parent or guardian, and a statement requesting the waiver of the health examination requirement.

Q: Are there any fees associated with Form PM171 B?
A: No, there are no fees associated with Form PM171 B.

Q: Is the waiver of health examination permanent or temporary?
A: The waiver of health examination is temporary and only applicable for the current school year.

Q: Do I need a healthcare professional's signature for the waiver?
A: No, you do not need a healthcare professional's signature for the waiver.

Q: Can I change my mind after submitting Form PM171 B?
A: Yes, you can change your mind and request a health examination for your child after submitting Form PM171 B.