Form PM171 A Report of Health Examination for School Entry - California

Form PM171 A Report of Health Examination for School Entry - California

What Is Form PM171 A?

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?
A: Form PM171 is a Report of Health Examination for School Entry in California.

Q: What is the purpose of Form PM171?
A: The purpose of Form PM171 is to document the results of a health examination for students entering school.

Q: Who needs to complete Form PM171?
A: All students entering kindergarten or first grade in California are required to complete Form PM171.

Q: What information is included in Form PM171?
A: Form PM171 includes information about the student's medical history, immunizations, and physical examination.

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Form Details:

  • Released on September 1, 2007;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form PM171 A by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form PM171 A Report of Health Examination for School Entry - California

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