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.
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.
Form Details:
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.