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Title:	Comprehensive Evaluation - Health Assessment
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Keywords:	Comprehensive Evaluation - Health Assessment
Handle:	Document-4149
Owner:	Site Administrator (User-2, admin:DocuShare)^DS
Create Date:	Monday, July 6, 2009 09:19:52 AM CDT
Modified Date:	Monday, July 6, 2009 09:19:52 AM CDT
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Abstract:	COMPREHENSIVE EVALUATION HEALTH ASSESSMENT Student’s Name: ______________________D.O.B. _____________ Grade: ________ Vision: _________________ Glasses/Contacts: _______ Hearing: _________________ Date Results Yes/No Date Results Observations: Multiple Choice (Mark all areas of concern-suspected or otherwise) __ i. (Check) ______Yes ______ No _____ I don’t know Last parent contact: ____________________________________________ Yes: Medication Name and amount: ________________________________ __________________________________________________________________________ Does the student take the medication at home or school?
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Content Type:	Microsoft Office Word (.doc, .dot) - application/msword
File name:	COMPREHENSIVE_EVALUATION_HEALTH_ASSESSMENT.doc
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Size:	29696
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Preferred Version:	Comprehensive Evaluation - Health Assessment