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SCHOOL ENTRY HEALTH EXAMINATION

  • Students in grades kindergarten through 12th grade who are making their initial entry into a Florida school must present a record of a physical examination completed within the previous 12 months.
  • The exam record should be taken to the child's school upon enrollment.  Although a specific form is not required, it is recommended that Florida's standardized School Entry Exam form (DH 3040) be used to document completion of a physical examination. 
  • It must be completed by a health care provider licensed to perform physical examinations.
  • For students transferring to a Florida school, a comparable form from another state would be acceptable, if completed within 1 year.

 

Florida Statute 1003.22  http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=1000-1099/1003/Sections/1003.22.html

 

For New Entries:

  • Physical Exam on DH3040 (Form can now be printed on Yellow, White or any color paper)
  • In accordance with the Florida Plan for School Health Services, all pre-kindergarten through 12th grade students must submit documentation verifying that a Students’ Health Examination was performed within the 12 month period preceding initial entry into a Florida school.