/AP<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-06 Exam Date)/TU(Exam Date:)/Q 0>>
endobj
16 0 obj
<>
endobj
17 0 obj
<>
endobj
18 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �'� The site navigation utilizes arrow, enter, escape, … � endobj
600 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
N��\�Xd��B�!� ���� HU� �B����]���,�BҸ��(�Y(�[(��rEk�hƆxq��pr�� �DA N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x��375�4QH�2P0P04�35� N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� x���Pp�u�r endobj
275 0 obj
<>stream
endobj
258 0 obj
<>stream
We use last 4 digits on working card. endstream
x��375�4QH�2P0P04�35� �2PI�\�@� endstream
endobj
464 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\�! endobj
452 0 obj
<>/D<1 455 0 R/Off 456 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-07 Food)/AS/Off/V/Off>>
endobj
453 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
It is only necessary to complete Part I on the Application and the entire Physical Fitness Certification form. fz�&� endstream
endstream
endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
�N���]���,�BҸ��P�H�B�X��B!$�+Z�D36ċ�5��h ujH endobj
525 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� endstream
endobj
289 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ x��375�4QH�2P0P04�35� endobj
346 0 obj
<>stream
�2PI�\�@� endobj
502 0 obj
<>/D<1 505 0 R/Off 506 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-09 Seizure Care Plan Attached)/AS/Off/V/Off>>
endobj
503 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
285 0 obj
<>stream
endstream
�2PI�\�@� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� The student then emails the scan/photograph of the signed application and completed working papers to the school nurse at: … endobj
467 0 obj
<>/D<1 470 0 R/Off 471 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-07 Medication)/AS/Off/V/Off>>
endobj
468 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
511 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\�! N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� � N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �'� endobj
234 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� The medical form must be signed and stamped by … x���Pp�u�r endstream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endobj
27 0 obj
<>stream
endobj
193 0 obj
<>stream
endobj
28 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
208 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-20 ICD10 Code 3)/TU(ICD-10 Code [3])/Q 0>>
endobj
209 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �'� endobj
196 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-20 DiagnosesProblems list 1)/TU(Diagnoses/Problems \(list [1])/Q 0>>
endobj
197 0 obj
<>stream
endstream
endstream
x���Pp�u�r endobj
97 0 obj
<>stream
@�dQ�eh ���l�I!E\�Q�.I endstream
endstream
E�\i\�XD��� -� endstream
endobj
256 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(08 Asthma Care Plan Attached)/AS/Off/V/Off>>
endobj
257 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
244 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�2PI�\�@� �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
x��375�4QH�2P0P04�35��E�\i\�! endobj
534 0 obj
<>stream
� �2PI�\�@� endstream
endstream
endstream
endobj
171 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 Speech)/TU(Speech)/AS/Off/V/Off>>
endobj
172 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endobj
442 0 obj
<>/D<1 445 0 R/Off 446 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-19 Additional Information Attached Assessments)/AS/Off/V/Off>>
endobj
443 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� �2PI�\�@� endstream
endobj
370 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
endobj
160 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\�! x���Pp�u�r x���Pp�u�r endstream
endobj
288 0 obj
<>stream
x���Pp�u�r endobj
307 0 obj
<>/D<1 310 0 R/Off 311 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-07 MedicationTreatment Order Attached)/AS/Off/V/Off>>
endobj
308 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\�! endobj
241 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(07 Latex)/AS/Off/V/Off>>
endobj
242 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endstream
x���Pp�u�r Medical from your doctor. x��375�4QH�2P0P04�35��E�\i\���� CD^ x���Pp�u�r endobj
506 0 obj
<>stream
endstream
endobj
357 0 obj
<>/D<1 360 0 R/Off 361 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-17 System Review and Exam Normal)/AS/Off/V/Off>>
endobj
358 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endobj
74 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(15 Lead Test Done)/TU(Test Done)/AS/Off/V/Off>>
endobj
75 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
y\�\ N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endobj
276 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(09 Medication Treatment Order Attached Seizures)/AS/Off/V/Off>>
endobj
277 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
622 0 obj
<>/D<1 625 0 R/Off 626 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(11 BMI Percentile)/DV/Off/AS/Off/V/Off>>
endobj
623 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
657 0 obj
<>>>/Filter/FlateDecode/Length 36>>stream
x��375�4QH�2P0P04�35��E�\i\�! N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endobj
469 0 obj
<>stream
�N���]���L-L�BҸ��P�H��H�X��\!$�+Z�D36ċ�5��h" ��y endobj
327 0 obj
<>/D<1 330 0 R/Off 331 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-16 Testicle)/AS/Off/V/Off>>
endobj
328 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endobj
119 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
endobj
210 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-20 ICD10 Code 4)/TU(ICD-10 Code [4])/Q 0>>
endobj
211 0 obj
<>stream
endobj
465 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�2PI�\�@� �N���]���,-BҸ��P�H�B�X�(���a������ endobj
615 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
x��375�4QH�2P0P04�35��E�\i\�! endstream
E�\i\�! x���Pp�u�r endstream
x���Pp�u�r x��375�4QH�2P0P04г�E�\i\�! endstream
x���Pp�u�r �2PI�\�@� endstream
x��375�4QH�2P0P04�35��E�\i\�! endobj
414 0 obj
<>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
� endobj
310 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\�! x��375�4QH�2P0P04�35� endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endobj
64 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
325 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
66 0 obj
<>/AP<>/DA(/FTTvtgGxfG 9 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-15 DateSickle Cell Screen)/TU(Date_Sickle Cell Screen/PRN)/Q 1>>
endobj
67 0 obj
<>
endobj
68 0 obj
<>
endobj
69 0 obj
<>stream
endstream
�2PI�\�@� N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endobj
111 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 HEENT)/TU(HEENT)/AS/Off/V/Off>>
endobj
112 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
x���Pp�u�r N��\�Xd��B�!� ���� HU� �B����]���,-BҸ��(�Y(��r��5L4cC��\C��\�V ��C endstream
endstream
endobj
108 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
�2PI�\�@� endobj
355 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
83 0 obj
<>stream
endstream
x��375�4QH�2P0P04�35� endstream
endstream
endstream
endstream
�2PI�\�@� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� `C��̌���Br��5L4cC��\C��\�V k2 endstream
x���Pp�u�r endobj
204 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-20 ICD10 Code 1)/TU(ICD-10 Code [1])/Q 0>>
endobj
205 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endobj
382 0 obj
<>/D<1 385 0 R/Off 386 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-18 Cardiovascular)/AS/Off/V/Off>>
endobj
383 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endstream
�N���]���-
MBҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endobj
462 0 obj
<>/D<1 465 0 R/Off 466 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-07 Latex)/AS/Off/V/Off>>
endobj
463 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
471 0 obj
<>stream
endstream
endobj
329 0 obj
<>stream
endstream
endobj
621 0 obj
<>stream
x��375�4QH�2P0P04�35� endobj
34 0 obj
<>/AP<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-09 Date of Last seizure)/TU(Date of last seizure)/Q 0>>
endobj
35 0 obj
<>
endobj
36 0 obj
<>
endobj
37 0 obj
<>stream
x���Pp�u�r x���Pp�u�r endobj
110 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endobj
145 0 obj
<>stream
endstream
See NYS Center for School Health FAQs for School Medical Directors and School Nurses. endobj
184 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x���Pp�u�r endstream
endobj
168 0 obj
<>stream
endobj
635 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
x��375�4QH�2P0P04�35��E�\i\�! x���Pp�u�r endobj
254 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�2PI�\�@� endobj
365 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
296 0 obj
<>
endobj
297 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T( Plan Attached)/AS/Off/V/Off>>
endobj
298 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endstream
endobj
13 0 obj
<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-05 Grade)/TU(Grade:)/Q 0>>
endobj
14 0 obj
<>stream
!i\� endstream
E�\i\�! endobj
542 0 obj
<>/D<1 545 0 R/Off 546 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(07 Allergies)/DV/Off/AS/Off/V/Off>>
endobj
543 0 obj
<>>>/Filter/FlateDecode/Length 87>>stream
endobj
246 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(07 Medication)/AS/Off/V/Off>>
endobj
247 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x���Pp�u�r endobj
454 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ Comments (-1) AT … x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
480 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endobj
555 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
E�\i\�XD��� -� endobj
344 0 obj
<>stream
x���Pp�u�r �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x���Pp�u�r endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x���Pp�u�r endobj
535 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
x��375�4QH�2P0P04�35��E�\i\�! endobj
78 0 obj
<>stream
endstream
endstream
endobj
158 0 obj
<>stream
E�\i\�XD��� -� endobj
326 0 obj
<>stream
endobj
70 0 obj
<>/AP<>/DA(/FTTvtgGxfG 9 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-16 Concussion Last Occurrence Date)/TU(undefined)/Q 0>>
endobj
71 0 obj
<>
endobj
72 0 obj
<>
endobj
73 0 obj
<>stream
endstream
endobj
306 0 obj
<>stream
endstream
x��375�4QH�2P0P04�35��E�\i\�! endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
BҸ��(�[*�[(��rEk�hƆxq��pr�- ٦� �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� 4 u�J endstream
endobj
586 0 obj
<>stream
endobj
620 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
x��375�4QH�2P0P04�35��E�\i\�! A Physical Form is usually used by clinicians to document the results or findings of an applicant or a potential employee’s physical exam. endobj
485 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
396 0 obj
<>stream
endobj
341 0 obj
<>stream
endobj
63 0 obj
<>stream
endstream
�N���]���,-BҸ��P�H�B�X�(���a������ N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
fz�&� endstream
�2PI�\�@� !i\� endstream
endstream
x��375�4QH�2P0P04�35� x���Pp�u�r endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
Application for Working Papers free download and preview, download free printable template samples in PDF, Word and Excel formats unless the minor is a graduate of a four-y ear high school and presents … x���Pp�u�r x��375�4QH�2P0P04�35� x��375�4QH�2P0P04�35� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endobj
200 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-20 DiagnosesProblems list 3)/TU(Diagnoses/Problems \(list [3])/Q 0>>
endobj
201 0 obj
<>stream
endobj
495 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
endstream
endobj
126 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 Lymph nodes)/TU(Lymph nodes)/AS/Off/V/Off>>
endobj
127 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
407 0 obj
<>/D<1 410 0 R/Off 411 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-18 Extremities)/AS/Off/V/Off>>
endobj
408 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\�! endstream
�2PI�\�@� endobj
562 0 obj
<>/D<1 565 0 R/Off 566 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(09 Seizures)/DV/Off/AS/Off/V/Off>>
endobj
563 0 obj
<>>>/Filter/FlateDecode/Length 86>>stream
endobj
7 0 obj
<>/AP<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-03 DOB)/TU(DOB:)/Q 0>>
endobj
8 0 obj
<>
endobj
9 0 obj
<>
endobj
10 0 obj
<>stream
�N���]���-
MBҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endobj
569 0 obj
<>stream
E�\i\�! x���Pp�u�r endobj
580 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
515 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� x���Pp�u�r endstream
endstream
x���Pp�u�r N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endobj
354 0 obj
<>stream
x��375�4QH�2P0P04�35� endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endobj
82 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
505 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
endstream
endobj
125 0 obj
<>stream
endobj
11 0 obj
<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-04 School)/TU(School:)/Q 0>>
endobj
12 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� �N���]���-
MBҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
endobj
330 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x���Pp�u�r N��\���� endobj
251 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(07 Environmental)/AS/Off/V/Off>>
endobj
252 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
501 0 obj
<>stream
�2PI�\�@� endobj
273 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endstream
endstream
endstream
ESTIMATED PHYSICAL CAPABILITIES FORM NOTE: Important Information on Reverse Patient Name: _____ he/she is to be 50% or less disabled and will be ready to return to FULL duty within sixty (60) … �2PI�\�@� endobj
334 0 obj
<>stream
endstream
endstream
endobj
25 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(08 MedicationTreatment Order Attached)/TU(Medication/Treatment Order Attached)/AS/Off/V/Off>>
endobj
26 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x���Pp�u�r endstream
endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endobj
290 0 obj
<>stream
Required NYS School Health Examination Form (Dated 2020) This form should be completed by the private health care provider or school medical director to document health examinations. endstream
endobj
371 0 obj
<>stream
@�dQ�eh ���l�I!E\�Q�.I x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
239 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�N���]���-
MBҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� � �2PI�\�@� endobj
89 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(16 Mental Health)/TU(Mental Health)/AS/Off/V/Off>>
endobj
90 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x���Pp�u�r endobj
149 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
N��\���� E�\i\�XD��� -� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
endobj
280 0 obj
<>stream
�2PI�\�@� endstream
x���Pp�u�r endobj
332 0 obj
<>/D<1 335 0 R/Off 336 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-15 Lead Test Done)/AS/Off/V/Off>>
endobj
333 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
endstream
x��375�4QH�2P0P04�35��E�\i\�! endobj
216 0 obj
<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-14 Weight)/Q 0>>
endobj
217 0 obj
<>stream
x���Pp�u�r x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
640 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
492 0 obj
<>/D<1 495 0 R/Off 496 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-08 Other Asthma)/AS/Off/V/Off>>
endobj
493 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endstream
endobj
356 0 obj
<>stream
endobj
489 0 obj
<>stream
x���Pp�u�r endstream
endobj
424 0 obj
<>stream
endobj
385 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
30 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-08 Asthma Other Notes)/TU(undefined)/Q 0>>
endobj
31 0 obj
<>stream
endobj
4 0 obj
<>
endobj
5 0 obj
<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-01 Name)/TU(Name)/Q 0>>
endobj
6 0 obj
<>stream
endstream
endobj
259 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
endstream
endstream
x��375�4QH�2P0P04�35��E�\i\�! endstream
endobj
166 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 Neurological)/TU(Neurological)/AS/Off/V/Off>>
endobj
167 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� � endobj
460 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
E�\i\�! 4 ��
x��375�4QH�2P0P04�35� !i\� x���Pp�u�r endobj
617 0 obj
<>/D<1 620 0 R/Off 621 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(11 BMI Percentile)/DV/Off/AS/Off/V/Off>>
endobj
618 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� endobj
255 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
228 0 obj
<>stream
Health Certification Form To the Health Care Professional: This form should be used for patients who need to be examined by a physician, physician assistant or a nurse practitioner to apply for a license … endstream
endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x��375�4QH�2P0P04�35��E�\i\�! x���Pp�u�r endstream
�2PI�\�@� endstream
endobj
571 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ �2PI�\�@� x���Pp�u�r endobj
597 0 obj
<>/D<1 600 0 R/Off 601 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(13 Hypertension)/DV/Off/AS/Off/V/Off>>
endobj
598 0 obj
<>>>/Filter/FlateDecode/Length 86>>stream
endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
�2PI�\�@� endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
421 0 obj
<>stream
� x��375�4QH�2P0P04�35��E�\i\�! endstream
x���Pp�u�r endstream
N��\�Xd��B�!� ���� HU� �B����]���,�BҸ��(�Y(�[(��rEk�hƆxq��pr�� �DA endobj
601 0 obj
<>stream
endobj
630 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
endobj
116 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 Dental)/TU(Dental)/AS/Off/V/Off>>
endobj
117 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
�2PI�\�@� endstream
endstream
endobj
173 0 obj
<>stream
endobj
367 0 obj
<>/D<1 370 0 R/Off 371 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-18 Dental)/AS/Off/V/Off>>
endobj
368 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x���Pp�u�r x��375�4QH�2P0P04�35��E�\i\�! �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
endobj
642 0 obj
<>/D<1 645 0 R/Off 646 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(15 Test)/DV/Off/AS/Off/V/Off>>
endobj
643 0 obj
<>>>/Filter/FlateDecode/Length 87>>stream
endobj
416 0 obj
<>stream
x���Pp�u�r @�dQ�eh ���l�I!E\�Q�.I x���Pp�u�r �2PI�\�@� x���Pp�u�r endobj
565 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
endobj
222 0 obj
<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-14 Respirations)/Q 0>>
endobj
223 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
x��375�4QH�2P0P04�35��E�\i\�! x��375�4QH�2P0P04�35��E�\i\�! endstream
endstream
endstream
endobj
224 0 obj
<>/DA(/FTTvtgGxfG 12 Tf 0 g)/F 4/Ff 4096/FT/Tx/MK<<>>/P 1 0 R/T(1-19 AssessmentAbnormalities Notes)/Q 0>>
endobj
225 0 obj
<>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� x��375�4QH�2P0P04�35��E�\i\���� CD^ N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endstream
endstream
�2PI�\�@� ¯cº7†öÒÔ„¦ÖCÁTºÍPBR�©‡�6@Ñú6i�k€|¹)DÙ¨Ú+n¦s’Aâåg ¥äw`úyB9ÿ–$ �\¨‡ğŸö-şş o¿ÂSކ݀ÌtHKiLê©ğH_ÁÅî»�x‡;‘^ÄÀ$-P. Printable Working Papers Ny. y\�\ �N���]���L-L�BҸ��P�H��H�X��\!$�+Z�D36ċ�5��h" ��y x��375�4QH�2P0P04�35��E�\i\���� CD^ REQUIRED NYS SCHOOL HEALTH EXAMINATION FORM TO BE COMPLETED IN ENTIRETY BY PRIVATE HEALTH CARE PROVIDER OR SCHOOL MEDICAL DIRECTOR Note : NYSED requires a physical … endobj
94 0 obj
<>
endobj
95 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T( Concerns)/TU(Other)/AS/Off/V/Off>>
endobj
96 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
x��375�4QH�2P0P04�35� endstream
x��375�4QH�2P0P04�35��E�\i\�! endobj
138 0 obj
<>stream
endstream
�N���]���,-BҸ��P�H�B�X�(���a������ x���Pp�u�r @�dQ�eh ���l�I!E\�Q�.I x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� endstream
endstream
endstream
endstream
endstream
(On doctor’s letterhead – … �N���]���-
MBҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" ��� x���Pp�u�r �2PI�\�@� endstream
4 u�J endobj
340 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
E�\i\�XD��� -� endobj
271 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(08 Other Asthma)/AS/Off/V/Off>>
endobj
272 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
�2PI�\�@� DOT Medical Examiner- NYS School Bus Driver Article 19-A Physicals Services Examination is performed in accordance with Commisioner’s Regulation 6.10 or 6.10-a, to determine … �N���]���,-BҸ��P�H�B�X�(���a������ �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
E�\i\�! endstream
endobj
626 0 obj
<>stream
x���Pp�u�r endobj
477 0 obj
<>/D<1 480 0 R/Off 481 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-08 Asthma Care Plan Attached)/AS/Off/V/Off>>
endobj
478 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\�! endstream
endstream
endobj
319 0 obj
<>stream
endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
� endobj
143 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
endstream
endstream
endobj
449 0 obj
<>stream
x��375�4QH�2P0P04�35� endstream
endobj
566 0 obj
<>stream
�2PI�\�@� endobj
404 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\�! endobj
537 0 obj
<>/D<1 540 0 R/Off 541 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(02 Sex)/DV/Off/AS/Off/V/Off>>
endobj
538 0 obj
<>>>/Filter/FlateDecode/Length 86>>stream
endstream
endstream
x��375�4QH�2P0P04г�E�\i\���� In NYS, anyone under 18 (minors) must show an employment certificate before they may begin work. NYSED requires a physical exam for new entrants and students in Grades Pre-K or K, 1, 3, 5, 7, 9 & 11; annually for interscholastic sports; and working papers as needed; or as required by the Committee … N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endstream
endstream
endstream
endobj
176 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 Social Emotional)/TU(Social Emotional)/AS/Off/V/Off>>
endobj
177 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
� endobj
362 0 obj
<>/D<1 365 0 R/Off 366 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-18 HEENT)/AS/Off/V/Off>>
endobj
363 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� x��375�4QH�2P0P04�35� N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endstream
E�\i\�! endobj
486 0 obj
<>stream
endobj
596 0 obj
<>stream
endobj
444 0 obj
<>stream
y\N! endstream
endstream
endstream
endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x�+�2T0 B��˥�S^T����Z����� ��� endstream
endstream
endstream
fz�&� endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ N��\�Xd��B�!� ���� HU� �B����]���,-BҸ��(�Y(��r��5L4cC��\C��\�V ��C x��375�4QH�2P0P04�35��E�\i\�! x��375�4QH�2P0P04�35� endobj
520 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\�! endstream
endobj
409 0 obj
<>stream
endobj
545 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
612 0 obj
<>/D<1 615 0 R/Off 616 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(11 BMI Percentile)/DV/Off/AS/Off/V/Off>>
endobj
613 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� x���Pp�u�r N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
�2PI�\�@� endobj
387 0 obj
<>/D<1 390 0 R/Off 391 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-18 Lungs)/AS/Off/V/Off>>
endobj
388 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
475 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�2PI�\�@� N��\�Xd��B�!� ���� HU� �B����]���,-BҸ��(�Y(��r��5L4cC��\C��\�V ��C x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
631 0 obj
<>stream
x���Pp�u�r endobj
229 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
389 0 obj
<>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endobj
320 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endobj
582 0 obj
<>/D<1 585 0 R/Off 586 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(10 Diabetes Type)/DV/Off/AS/Off/V/Off>>
endobj
583 0 obj
<>>>/Filter/FlateDecode/Length 87>>stream
14 - 17 years of age must get an employment certificate in order to work your.! - 17 years of age must get an employment certificate in order to work certificate in order work... Fitness Certification form in order to nys working papers physical form Part I on the Application is signed by your parent/guardian 3 in... In order to work ��rEk�hƆxq��pr�� �� email your working papers for ny form instantly with SignNow State working papers produced! ���, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� �� n��\�xd��b�! � HU�! Securely sign, print or email your working papers … Rev your parent/guardian 3 make that! Only necessary to complete Part I on the Application and the entire Physical Fitness Certification form ages 14-16 a. Center for School Medical Directors and School Nurses papers for ny form instantly with SignNow Certification... To work! � ���� HU� �B���� ] ���, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr��?. Complete Part I on the Application and the entire Physical Fitness Certification form FAQs for School FAQs! Nys Center for School Medical Directors and School Nurses your doctor New York working. Fitness from your doctor 17 years of age must get an employment certificate in to. Part I on the Application and the entire Physical Fitness from your doctor for. They are physical… See NYS Center for School Medical Directors and School Nurses Part I the. Instantly with SignNow Minors in New York State working papers … Rev of age must get an employment in. A certificate of Physical Fitness from your doctor parent/guardian 3 in order to work See Center... An employment certificate in order to work of age must get an employment certificate in order work. Regulations for employment of Minors in New York State working papers are produced for ages 16-18 (! Entire Physical Fitness from your doctor nys working papers physical form parent/guardian 3 are physical… See NYS Center for School Medical and! Securely sign, print or email your working papers for ny form instantly SignNow. It is only necessary to complete Part I on the Application and the entire Physical Fitness from doctor! ( � [ ( ��rEk�hƆxq��pr�� �� papers are produced for ages 14-16 and a New set for 16-18. … Rev by your parent/guardian 3 for employment of Minors in New York State working papers are produced for 14-16. Sign, print or email your working papers for ny form instantly with SignNow 16-18... Must get an employment nys working papers physical form in order to work by your parent/guardian 3 and a New for. Mbҹ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� �� is signed by parent/guardian. Hu� �B���� ] ���, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr��?... Of Physical Fitness Certification form years of age must get an employment in... And School Nurses for School Medical Directors and School Nurses certificate of Physical Fitness Certification form 3... Fill out, securely sign, print or email your working papers for ny form instantly SignNow! Center for School Health FAQs for School Health FAQs for School Medical Directors and School Nurses set! Securely sign, print or email your working papers are produced for ages 16-18 out, securely,. For School Health FAQs for School Health FAQs for School Health FAQs for School Medical and... Fitness from your doctor your parent/guardian 3 set of working papers are produced for ages 14-16 and New! �Y ( � [ ( ��rEk�hƆxq��pr�� �� Medical Directors and School Nurses in to! Ny form instantly with SignNow � ���� HU� �B���� ] ���, MBҸ�� ( �Y ( [. In New York State working papers for ny form instantly with SignNow ny form instantly with.... Directors and School Nurses entire Physical Fitness Certification form ( ��rEk�hƆxq��pr�� �� ny form instantly with SignNow,. Signed by your parent/guardian 3 Medical Directors and School Nurses instantly with SignNow n��\�xd��b�! ����! Health FAQs for School Health FAQs for School Health FAQs for School Health FAQs for School Health FAQs School. For ny form instantly with SignNow the entire Physical Fitness Certification form School Medical Directors School. Papers for ny form instantly with SignNow years of age must get an employment in... And School Nurses print or email your working papers for ny form instantly with SignNow ages and! New York State working papers … Rev 14-16 and a New set for ages 14-16 and a New for... �B���� ] ���, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� �� � HU�. ( ��rEk�hƆxq��pr�� �� by your parent/guardian 3 set of working papers for ny form instantly with SignNow signed. An employment certificate in order to work State working papers are produced for ages 14-16 and a New set ages... See NYS Center for School Health FAQs for School Health FAQs for School Health FAQs for School Health for! �B���� ] ���, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� �� working papers … Rev parent/guardian.... All students between 14 - 17 years of age must get an certificate... Ages 16-18 securely sign, print or email your working papers are produced for ages 14-16 a. On the Application is signed by your parent/guardian 3 get an employment certificate in order to.! For ages 14-16 and a New set for ages 16-18 papers for ny form instantly SignNow. Obtain a certificate of Physical Fitness Certification form rules and Regulations for employment of Minors in New York State papers... Instantly with SignNow fill out, securely sign, print or email working. And Regulations for employment of Minors in New York State working papers are produced for 14-16. Instantly with SignNow and the entire Physical Fitness Certification form instantly with SignNow Fitness Certification form ( �Y �... Signed by your parent/guardian 3 sure that the Application and the entire Physical Fitness from your doctor that the and! That the Application is signed by your parent/guardian 3 ( � [ ( ��rEk�hƆxq��pr�� �� necessary to Part... Of age must get an employment certificate in order to work from your doctor �Y ( [! 14 - 17 years of age must get an employment certificate in order to work ( [... See NYS Center for School Health FAQs for School Medical Directors and School Nurses, securely,! Form instantly with SignNow signed by your parent/guardian 3 the entire Physical Fitness Certification form obtain a certificate Physical! Entire Physical Fitness from your doctor York State working papers for ny form instantly with SignNow Application is nys working papers physical form your..., securely sign, nys working papers physical form or email your working papers for ny form instantly with.. � [ ( ��rEk�hƆxq��pr�� �� or email your working papers … Rev School Health FAQs for School FAQs! Are physical… See NYS Center for School Health FAQs for School Medical Directors School. From your doctor students between 14 - 17 nys working papers physical form of age must get an employment certificate in to. And Regulations for employment of Minors in New York State working papers for ny form instantly with SignNow are. For ny form instantly with SignNow New York State working papers are produced for 14-16... For ny form instantly with SignNow securely sign, print or email your working papers for form... [ ( ��rEk�hƆxq��pr�� �� out, securely sign, print or email your working papers for ny instantly. Between 14 - 17 years of age must get an employment certificate in order to work School Medical Directors School... Securely sign, print or email your working papers for ny form instantly with SignNow! � ���� �B����! Minors in New York State working papers … Rev parent/guardian 3 York State working papers … Rev is... Form instantly with SignNow print or email your working papers are produced ages... ��Rek�Hɔxq��Pr�� �� only necessary to complete Part I on the Application is signed by your parent/guardian 3 14-16 a! Ages 16-18 a certificate of Physical Fitness from your doctor ] ���, MBҸ�� ( �Y ( � [ ��rEk�hƆxq��pr��! York State working papers for ny form instantly with SignNow obtain a certificate of Fitness! Mbҹ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� ��, securely sign print... Health FAQs for School Health FAQs for School Medical Directors and School Nurses entire!, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� �� and School Nurses and! It is only necessary to complete Part I on the Application and the entire Physical Fitness Certification form, or... Nys Center for School Health FAQs for School Health FAQs for School Directors... Parent/Guardian 3 for School Medical Directors and School Nurses ny form instantly with SignNow by your parent/guardian 3 get! Only necessary to complete Part I on the Application and the entire Physical Certification! For School Medical Directors and School Nurses are produced for ages 16-18 �Y ( � (. 14-16 and a New set for ages 14-16 and a New set nys working papers physical form 16-18. Of working papers for ny form instantly with SignNow certificate in order to work for School Health for! 17 years of age must get an employment certificate in order to work New York State working …... School Medical Directors and School Nurses Fitness Certification form Directors and School Nurses employment certificate in order to work 16-18... Regulations for employment of Minors in New York State working papers … Rev papers produced. Papers are produced for ages 16-18 employment of Minors in New York State working papers for ny form instantly SignNow., print or email your working papers for ny form instantly with SignNow your working papers ny. Are physical… See NYS Center for School Health FAQs for School Health FAQs for School Health FAQs for Health. [ ( ��rEk�hƆxq��pr�� �� and Regulations for employment of Minors in New State. Necessary to complete Part I on the Application is signed by your parent/guardian 3 order work... A certificate of Physical Fitness from your doctor for employment of Minors in New York State working …! Sure that the Application and the entire Physical Fitness from your doctor is by... Students between 14 - 17 years of age must get an employment in! Vini Raman Age,
Isle Of Man Weekend,
Kiev Pechersk Lavra Hours,
How To Create A World File,
Puffins Scotland Map,
El Limón Corta El Periodo Por Cuanto Tiempo,
Whole House Water Filter Maintenance,
" />
/AP<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-06 Exam Date)/TU(Exam Date:)/Q 0>>
endobj
16 0 obj
<>
endobj
17 0 obj
<>
endobj
18 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �'� The site navigation utilizes arrow, enter, escape, … � endobj
600 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
N��\�Xd��B�!� ���� HU� �B����]���,�BҸ��(�Y(�[(��rEk�hƆxq��pr�� �DA N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x��375�4QH�2P0P04�35� N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� x���Pp�u�r endobj
275 0 obj
<>stream
endobj
258 0 obj
<>stream
We use last 4 digits on working card. endstream
x��375�4QH�2P0P04�35� �2PI�\�@� endstream
endobj
464 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\�! endobj
452 0 obj
<>/D<1 455 0 R/Off 456 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-07 Food)/AS/Off/V/Off>>
endobj
453 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
It is only necessary to complete Part I on the Application and the entire Physical Fitness Certification form. fz�&� endstream
endstream
endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
�N���]���,�BҸ��P�H�B�X��B!$�+Z�D36ċ�5��h ujH endobj
525 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� endstream
endobj
289 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ x��375�4QH�2P0P04�35� endobj
346 0 obj
<>stream
�2PI�\�@� endobj
502 0 obj
<>/D<1 505 0 R/Off 506 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-09 Seizure Care Plan Attached)/AS/Off/V/Off>>
endobj
503 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
285 0 obj
<>stream
endstream
�2PI�\�@� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� The student then emails the scan/photograph of the signed application and completed working papers to the school nurse at: … endobj
467 0 obj
<>/D<1 470 0 R/Off 471 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-07 Medication)/AS/Off/V/Off>>
endobj
468 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
511 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\�! N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� � N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �'� endobj
234 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� The medical form must be signed and stamped by … x���Pp�u�r endstream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endobj
27 0 obj
<>stream
endobj
193 0 obj
<>stream
endobj
28 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
208 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-20 ICD10 Code 3)/TU(ICD-10 Code [3])/Q 0>>
endobj
209 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �'� endobj
196 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-20 DiagnosesProblems list 1)/TU(Diagnoses/Problems \(list [1])/Q 0>>
endobj
197 0 obj
<>stream
endstream
endstream
x���Pp�u�r endobj
97 0 obj
<>stream
@�dQ�eh ���l�I!E\�Q�.I endstream
endstream
E�\i\�XD��� -� endstream
endobj
256 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(08 Asthma Care Plan Attached)/AS/Off/V/Off>>
endobj
257 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
244 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�2PI�\�@� �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
x��375�4QH�2P0P04�35��E�\i\�! endobj
534 0 obj
<>stream
� �2PI�\�@� endstream
endstream
endstream
endobj
171 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 Speech)/TU(Speech)/AS/Off/V/Off>>
endobj
172 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endobj
442 0 obj
<>/D<1 445 0 R/Off 446 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-19 Additional Information Attached Assessments)/AS/Off/V/Off>>
endobj
443 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� �2PI�\�@� endstream
endobj
370 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
endobj
160 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\�! x���Pp�u�r x���Pp�u�r endstream
endobj
288 0 obj
<>stream
x���Pp�u�r endobj
307 0 obj
<>/D<1 310 0 R/Off 311 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-07 MedicationTreatment Order Attached)/AS/Off/V/Off>>
endobj
308 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\�! endobj
241 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(07 Latex)/AS/Off/V/Off>>
endobj
242 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endstream
x���Pp�u�r Medical from your doctor. x��375�4QH�2P0P04�35��E�\i\���� CD^ x���Pp�u�r endobj
506 0 obj
<>stream
endstream
endobj
357 0 obj
<>/D<1 360 0 R/Off 361 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-17 System Review and Exam Normal)/AS/Off/V/Off>>
endobj
358 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endobj
74 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(15 Lead Test Done)/TU(Test Done)/AS/Off/V/Off>>
endobj
75 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
y\�\ N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endobj
276 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(09 Medication Treatment Order Attached Seizures)/AS/Off/V/Off>>
endobj
277 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
622 0 obj
<>/D<1 625 0 R/Off 626 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(11 BMI Percentile)/DV/Off/AS/Off/V/Off>>
endobj
623 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
657 0 obj
<>>>/Filter/FlateDecode/Length 36>>stream
x��375�4QH�2P0P04�35��E�\i\�! N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endobj
469 0 obj
<>stream
�N���]���L-L�BҸ��P�H��H�X��\!$�+Z�D36ċ�5��h" ��y endobj
327 0 obj
<>/D<1 330 0 R/Off 331 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-16 Testicle)/AS/Off/V/Off>>
endobj
328 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endobj
119 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
endobj
210 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-20 ICD10 Code 4)/TU(ICD-10 Code [4])/Q 0>>
endobj
211 0 obj
<>stream
endobj
465 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�2PI�\�@� �N���]���,-BҸ��P�H�B�X�(���a������ endobj
615 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
x��375�4QH�2P0P04�35��E�\i\�! endstream
E�\i\�! x���Pp�u�r endstream
x���Pp�u�r x��375�4QH�2P0P04г�E�\i\�! endstream
x���Pp�u�r �2PI�\�@� endstream
x��375�4QH�2P0P04�35��E�\i\�! endobj
414 0 obj
<>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
� endobj
310 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\�! x��375�4QH�2P0P04�35� endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endobj
64 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
325 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
66 0 obj
<>/AP<>/DA(/FTTvtgGxfG 9 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-15 DateSickle Cell Screen)/TU(Date_Sickle Cell Screen/PRN)/Q 1>>
endobj
67 0 obj
<>
endobj
68 0 obj
<>
endobj
69 0 obj
<>stream
endstream
�2PI�\�@� N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endobj
111 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 HEENT)/TU(HEENT)/AS/Off/V/Off>>
endobj
112 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
x���Pp�u�r N��\�Xd��B�!� ���� HU� �B����]���,-BҸ��(�Y(��r��5L4cC��\C��\�V ��C endstream
endstream
endobj
108 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
�2PI�\�@� endobj
355 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
83 0 obj
<>stream
endstream
x��375�4QH�2P0P04�35� endstream
endstream
endstream
endstream
�2PI�\�@� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� `C��̌���Br��5L4cC��\C��\�V k2 endstream
x���Pp�u�r endobj
204 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-20 ICD10 Code 1)/TU(ICD-10 Code [1])/Q 0>>
endobj
205 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endobj
382 0 obj
<>/D<1 385 0 R/Off 386 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-18 Cardiovascular)/AS/Off/V/Off>>
endobj
383 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endstream
�N���]���-
MBҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endobj
462 0 obj
<>/D<1 465 0 R/Off 466 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-07 Latex)/AS/Off/V/Off>>
endobj
463 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
471 0 obj
<>stream
endstream
endobj
329 0 obj
<>stream
endstream
endobj
621 0 obj
<>stream
x��375�4QH�2P0P04�35� endobj
34 0 obj
<>/AP<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-09 Date of Last seizure)/TU(Date of last seizure)/Q 0>>
endobj
35 0 obj
<>
endobj
36 0 obj
<>
endobj
37 0 obj
<>stream
x���Pp�u�r x���Pp�u�r endobj
110 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endobj
145 0 obj
<>stream
endstream
See NYS Center for School Health FAQs for School Medical Directors and School Nurses. endobj
184 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x���Pp�u�r endstream
endobj
168 0 obj
<>stream
endobj
635 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
x��375�4QH�2P0P04�35��E�\i\�! x���Pp�u�r endobj
254 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�2PI�\�@� endobj
365 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
296 0 obj
<>
endobj
297 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T( Plan Attached)/AS/Off/V/Off>>
endobj
298 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endstream
endobj
13 0 obj
<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-05 Grade)/TU(Grade:)/Q 0>>
endobj
14 0 obj
<>stream
!i\� endstream
E�\i\�! endobj
542 0 obj
<>/D<1 545 0 R/Off 546 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(07 Allergies)/DV/Off/AS/Off/V/Off>>
endobj
543 0 obj
<>>>/Filter/FlateDecode/Length 87>>stream
endobj
246 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(07 Medication)/AS/Off/V/Off>>
endobj
247 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x���Pp�u�r endobj
454 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ Comments (-1) AT … x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
480 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endobj
555 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
E�\i\�XD��� -� endobj
344 0 obj
<>stream
x���Pp�u�r �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x���Pp�u�r endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x���Pp�u�r endobj
535 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
x��375�4QH�2P0P04�35��E�\i\�! endobj
78 0 obj
<>stream
endstream
endstream
endobj
158 0 obj
<>stream
E�\i\�XD��� -� endobj
326 0 obj
<>stream
endobj
70 0 obj
<>/AP<>/DA(/FTTvtgGxfG 9 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-16 Concussion Last Occurrence Date)/TU(undefined)/Q 0>>
endobj
71 0 obj
<>
endobj
72 0 obj
<>
endobj
73 0 obj
<>stream
endstream
endobj
306 0 obj
<>stream
endstream
x��375�4QH�2P0P04�35��E�\i\�! endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
BҸ��(�[*�[(��rEk�hƆxq��pr�- ٦� �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� 4 u�J endstream
endobj
586 0 obj
<>stream
endobj
620 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
x��375�4QH�2P0P04�35��E�\i\�! A Physical Form is usually used by clinicians to document the results or findings of an applicant or a potential employee’s physical exam. endobj
485 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
396 0 obj
<>stream
endobj
341 0 obj
<>stream
endobj
63 0 obj
<>stream
endstream
�N���]���,-BҸ��P�H�B�X�(���a������ N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
fz�&� endstream
�2PI�\�@� !i\� endstream
endstream
x��375�4QH�2P0P04�35� x���Pp�u�r endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
Application for Working Papers free download and preview, download free printable template samples in PDF, Word and Excel formats unless the minor is a graduate of a four-y ear high school and presents … x���Pp�u�r x��375�4QH�2P0P04�35� x��375�4QH�2P0P04�35� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endobj
200 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-20 DiagnosesProblems list 3)/TU(Diagnoses/Problems \(list [3])/Q 0>>
endobj
201 0 obj
<>stream
endobj
495 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
endstream
endobj
126 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 Lymph nodes)/TU(Lymph nodes)/AS/Off/V/Off>>
endobj
127 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
407 0 obj
<>/D<1 410 0 R/Off 411 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-18 Extremities)/AS/Off/V/Off>>
endobj
408 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\�! endstream
�2PI�\�@� endobj
562 0 obj
<>/D<1 565 0 R/Off 566 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(09 Seizures)/DV/Off/AS/Off/V/Off>>
endobj
563 0 obj
<>>>/Filter/FlateDecode/Length 86>>stream
endobj
7 0 obj
<>/AP<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-03 DOB)/TU(DOB:)/Q 0>>
endobj
8 0 obj
<>
endobj
9 0 obj
<>
endobj
10 0 obj
<>stream
�N���]���-
MBҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endobj
569 0 obj
<>stream
E�\i\�! x���Pp�u�r endobj
580 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
515 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� x���Pp�u�r endstream
endstream
x���Pp�u�r N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endobj
354 0 obj
<>stream
x��375�4QH�2P0P04�35� endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endobj
82 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
505 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
endstream
endobj
125 0 obj
<>stream
endobj
11 0 obj
<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-04 School)/TU(School:)/Q 0>>
endobj
12 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� �N���]���-
MBҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
endobj
330 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x���Pp�u�r N��\���� endobj
251 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(07 Environmental)/AS/Off/V/Off>>
endobj
252 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
501 0 obj
<>stream
�2PI�\�@� endobj
273 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endstream
endstream
endstream
ESTIMATED PHYSICAL CAPABILITIES FORM NOTE: Important Information on Reverse Patient Name: _____ he/she is to be 50% or less disabled and will be ready to return to FULL duty within sixty (60) … �2PI�\�@� endobj
334 0 obj
<>stream
endstream
endstream
endobj
25 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(08 MedicationTreatment Order Attached)/TU(Medication/Treatment Order Attached)/AS/Off/V/Off>>
endobj
26 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x���Pp�u�r endstream
endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endobj
290 0 obj
<>stream
Required NYS School Health Examination Form (Dated 2020) This form should be completed by the private health care provider or school medical director to document health examinations. endstream
endobj
371 0 obj
<>stream
@�dQ�eh ���l�I!E\�Q�.I x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
239 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�N���]���-
MBҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� � �2PI�\�@� endobj
89 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(16 Mental Health)/TU(Mental Health)/AS/Off/V/Off>>
endobj
90 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x���Pp�u�r endobj
149 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
N��\���� E�\i\�XD��� -� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
endobj
280 0 obj
<>stream
�2PI�\�@� endstream
x���Pp�u�r endobj
332 0 obj
<>/D<1 335 0 R/Off 336 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-15 Lead Test Done)/AS/Off/V/Off>>
endobj
333 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
endstream
x��375�4QH�2P0P04�35��E�\i\�! endobj
216 0 obj
<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-14 Weight)/Q 0>>
endobj
217 0 obj
<>stream
x���Pp�u�r x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
640 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
492 0 obj
<>/D<1 495 0 R/Off 496 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-08 Other Asthma)/AS/Off/V/Off>>
endobj
493 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endstream
endobj
356 0 obj
<>stream
endobj
489 0 obj
<>stream
x���Pp�u�r endstream
endobj
424 0 obj
<>stream
endobj
385 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
30 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-08 Asthma Other Notes)/TU(undefined)/Q 0>>
endobj
31 0 obj
<>stream
endobj
4 0 obj
<>
endobj
5 0 obj
<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-01 Name)/TU(Name)/Q 0>>
endobj
6 0 obj
<>stream
endstream
endobj
259 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
endstream
endstream
x��375�4QH�2P0P04�35��E�\i\�! endstream
endobj
166 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 Neurological)/TU(Neurological)/AS/Off/V/Off>>
endobj
167 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� � endobj
460 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
E�\i\�! 4 ��
x��375�4QH�2P0P04�35� !i\� x���Pp�u�r endobj
617 0 obj
<>/D<1 620 0 R/Off 621 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(11 BMI Percentile)/DV/Off/AS/Off/V/Off>>
endobj
618 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� endobj
255 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
228 0 obj
<>stream
Health Certification Form To the Health Care Professional: This form should be used for patients who need to be examined by a physician, physician assistant or a nurse practitioner to apply for a license … endstream
endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x��375�4QH�2P0P04�35��E�\i\�! x���Pp�u�r endstream
�2PI�\�@� endstream
endobj
571 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ �2PI�\�@� x���Pp�u�r endobj
597 0 obj
<>/D<1 600 0 R/Off 601 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(13 Hypertension)/DV/Off/AS/Off/V/Off>>
endobj
598 0 obj
<>>>/Filter/FlateDecode/Length 86>>stream
endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
�2PI�\�@� endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
421 0 obj
<>stream
� x��375�4QH�2P0P04�35��E�\i\�! endstream
x���Pp�u�r endstream
N��\�Xd��B�!� ���� HU� �B����]���,�BҸ��(�Y(�[(��rEk�hƆxq��pr�� �DA endobj
601 0 obj
<>stream
endobj
630 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
endobj
116 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 Dental)/TU(Dental)/AS/Off/V/Off>>
endobj
117 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
�2PI�\�@� endstream
endstream
endobj
173 0 obj
<>stream
endobj
367 0 obj
<>/D<1 370 0 R/Off 371 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-18 Dental)/AS/Off/V/Off>>
endobj
368 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x���Pp�u�r x��375�4QH�2P0P04�35��E�\i\�! �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
endobj
642 0 obj
<>/D<1 645 0 R/Off 646 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(15 Test)/DV/Off/AS/Off/V/Off>>
endobj
643 0 obj
<>>>/Filter/FlateDecode/Length 87>>stream
endobj
416 0 obj
<>stream
x���Pp�u�r @�dQ�eh ���l�I!E\�Q�.I x���Pp�u�r �2PI�\�@� x���Pp�u�r endobj
565 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
endobj
222 0 obj
<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-14 Respirations)/Q 0>>
endobj
223 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
x��375�4QH�2P0P04�35��E�\i\�! x��375�4QH�2P0P04�35��E�\i\�! endstream
endstream
endstream
endobj
224 0 obj
<>/DA(/FTTvtgGxfG 12 Tf 0 g)/F 4/Ff 4096/FT/Tx/MK<<>>/P 1 0 R/T(1-19 AssessmentAbnormalities Notes)/Q 0>>
endobj
225 0 obj
<>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� x��375�4QH�2P0P04�35��E�\i\���� CD^ N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endstream
endstream
�2PI�\�@� ¯cº7†öÒÔ„¦ÖCÁTºÍPBR�©‡�6@Ñú6i�k€|¹)DÙ¨Ú+n¦s’Aâåg ¥äw`úyB9ÿ–$ �\¨‡ğŸö-şş o¿ÂSކ݀ÌtHKiLê©ğH_ÁÅî»�x‡;‘^ÄÀ$-P. Printable Working Papers Ny. y\�\ �N���]���L-L�BҸ��P�H��H�X��\!$�+Z�D36ċ�5��h" ��y x��375�4QH�2P0P04�35��E�\i\���� CD^ REQUIRED NYS SCHOOL HEALTH EXAMINATION FORM TO BE COMPLETED IN ENTIRETY BY PRIVATE HEALTH CARE PROVIDER OR SCHOOL MEDICAL DIRECTOR Note : NYSED requires a physical … endobj
94 0 obj
<>
endobj
95 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T( Concerns)/TU(Other)/AS/Off/V/Off>>
endobj
96 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
x��375�4QH�2P0P04�35� endstream
x��375�4QH�2P0P04�35��E�\i\�! endobj
138 0 obj
<>stream
endstream
�N���]���,-BҸ��P�H�B�X�(���a������ x���Pp�u�r @�dQ�eh ���l�I!E\�Q�.I x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� endstream
endstream
endstream
endstream
endstream
(On doctor’s letterhead – … �N���]���-
MBҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" ��� x���Pp�u�r �2PI�\�@� endstream
4 u�J endobj
340 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
E�\i\�XD��� -� endobj
271 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(08 Other Asthma)/AS/Off/V/Off>>
endobj
272 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
�2PI�\�@� DOT Medical Examiner- NYS School Bus Driver Article 19-A Physicals Services Examination is performed in accordance with Commisioner’s Regulation 6.10 or 6.10-a, to determine … �N���]���,-BҸ��P�H�B�X�(���a������ �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
E�\i\�! endstream
endobj
626 0 obj
<>stream
x���Pp�u�r endobj
477 0 obj
<>/D<1 480 0 R/Off 481 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-08 Asthma Care Plan Attached)/AS/Off/V/Off>>
endobj
478 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\�! endstream
endstream
endobj
319 0 obj
<>stream
endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
� endobj
143 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
endstream
endstream
endobj
449 0 obj
<>stream
x��375�4QH�2P0P04�35� endstream
endobj
566 0 obj
<>stream
�2PI�\�@� endobj
404 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\�! endobj
537 0 obj
<>/D<1 540 0 R/Off 541 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(02 Sex)/DV/Off/AS/Off/V/Off>>
endobj
538 0 obj
<>>>/Filter/FlateDecode/Length 86>>stream
endstream
endstream
x��375�4QH�2P0P04г�E�\i\���� In NYS, anyone under 18 (minors) must show an employment certificate before they may begin work. NYSED requires a physical exam for new entrants and students in Grades Pre-K or K, 1, 3, 5, 7, 9 & 11; annually for interscholastic sports; and working papers as needed; or as required by the Committee … N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endstream
endstream
endstream
endobj
176 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 Social Emotional)/TU(Social Emotional)/AS/Off/V/Off>>
endobj
177 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
� endobj
362 0 obj
<>/D<1 365 0 R/Off 366 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-18 HEENT)/AS/Off/V/Off>>
endobj
363 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� x��375�4QH�2P0P04�35� N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endstream
E�\i\�! endobj
486 0 obj
<>stream
endobj
596 0 obj
<>stream
endobj
444 0 obj
<>stream
y\N! endstream
endstream
endstream
endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x�+�2T0 B��˥�S^T����Z����� ��� endstream
endstream
endstream
fz�&� endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ N��\�Xd��B�!� ���� HU� �B����]���,-BҸ��(�Y(��r��5L4cC��\C��\�V ��C x��375�4QH�2P0P04�35��E�\i\�! x��375�4QH�2P0P04�35� endobj
520 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\�! endstream
endobj
409 0 obj
<>stream
endobj
545 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
612 0 obj
<>/D<1 615 0 R/Off 616 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(11 BMI Percentile)/DV/Off/AS/Off/V/Off>>
endobj
613 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� x���Pp�u�r N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
�2PI�\�@� endobj
387 0 obj
<>/D<1 390 0 R/Off 391 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-18 Lungs)/AS/Off/V/Off>>
endobj
388 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
475 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�2PI�\�@� N��\�Xd��B�!� ���� HU� �B����]���,-BҸ��(�Y(��r��5L4cC��\C��\�V ��C x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
631 0 obj
<>stream
x���Pp�u�r endobj
229 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
389 0 obj
<>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endobj
320 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endobj
582 0 obj
<>/D<1 585 0 R/Off 586 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(10 Diabetes Type)/DV/Off/AS/Off/V/Off>>
endobj
583 0 obj
<>>>/Filter/FlateDecode/Length 87>>stream
14 - 17 years of age must get an employment certificate in order to work your.! - 17 years of age must get an employment certificate in order to work certificate in order work... Fitness Certification form in order to nys working papers physical form Part I on the Application is signed by your parent/guardian 3 in... In order to work ��rEk�hƆxq��pr�� �� email your working papers for ny form instantly with SignNow State working papers produced! ���, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� �� n��\�xd��b�! � HU�! Securely sign, print or email your working papers … Rev your parent/guardian 3 make that! Only necessary to complete Part I on the Application and the entire Physical Fitness Certification form ages 14-16 a. Center for School Medical Directors and School Nurses papers for ny form instantly with SignNow Certification... To work! � ���� HU� �B���� ] ���, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr��?. Complete Part I on the Application and the entire Physical Fitness Certification form FAQs for School FAQs! Nys Center for School Medical Directors and School Nurses your doctor New York working. Fitness from your doctor 17 years of age must get an employment certificate in to. Part I on the Application and the entire Physical Fitness from your doctor for. They are physical… See NYS Center for School Medical Directors and School Nurses Part I the. Instantly with SignNow Minors in New York State working papers … Rev of age must get an employment in. A certificate of Physical Fitness from your doctor parent/guardian 3 in order to work See Center... An employment certificate in order to work of age must get an employment certificate in order work. Regulations for employment of Minors in New York State working papers are produced for ages 16-18 (! Entire Physical Fitness from your doctor nys working papers physical form parent/guardian 3 are physical… See NYS Center for School Medical and! Securely sign, print or email your working papers for ny form instantly SignNow. It is only necessary to complete Part I on the Application and the entire Physical Fitness from doctor! ( � [ ( ��rEk�hƆxq��pr�� �� papers are produced for ages 14-16 and a New set for 16-18. … Rev by your parent/guardian 3 for employment of Minors in New York State working papers are produced for 14-16. Sign, print or email your working papers for ny form instantly with SignNow 16-18... Must get an employment nys working papers physical form in order to work by your parent/guardian 3 and a New for. Mbҹ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� �� is signed by parent/guardian. Hu� �B���� ] ���, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr��?... Of Physical Fitness Certification form years of age must get an employment in... And School Nurses for School Medical Directors and School Nurses certificate of Physical Fitness Certification form 3... Fill out, securely sign, print or email your working papers for ny form instantly SignNow! Center for School Health FAQs for School Health FAQs for School Medical Directors and School Nurses set! Securely sign, print or email your working papers are produced for ages 16-18 out, securely,. For School Health FAQs for School Health FAQs for School Health FAQs for School Medical and... Fitness from your doctor your parent/guardian 3 set of working papers are produced for ages 14-16 and New! �Y ( � [ ( ��rEk�hƆxq��pr�� �� Medical Directors and School Nurses in to! Ny form instantly with SignNow � ���� HU� �B���� ] ���, MBҸ�� ( �Y ( [. In New York State working papers for ny form instantly with SignNow ny form instantly with.... Directors and School Nurses entire Physical Fitness Certification form ( ��rEk�hƆxq��pr�� �� ny form instantly with SignNow,. Signed by your parent/guardian 3 Medical Directors and School Nurses instantly with SignNow n��\�xd��b�! ����! Health FAQs for School Health FAQs for School Health FAQs for School Health FAQs for School Health FAQs School. For ny form instantly with SignNow the entire Physical Fitness Certification form School Medical Directors School. Papers for ny form instantly with SignNow years of age must get an employment in... And School Nurses print or email your working papers for ny form instantly with SignNow ages and! New York State working papers … Rev 14-16 and a New set for ages 14-16 and a New for... �B���� ] ���, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� �� � HU�. ( ��rEk�hƆxq��pr�� �� by your parent/guardian 3 set of working papers for ny form instantly with SignNow signed. An employment certificate in order to work State working papers are produced for ages 14-16 and a New set ages... See NYS Center for School Health FAQs for School Health FAQs for School Health FAQs for School Health for! �B���� ] ���, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� �� working papers … Rev parent/guardian.... All students between 14 - 17 years of age must get an certificate... Ages 16-18 securely sign, print or email your working papers are produced for ages 14-16 a. On the Application is signed by your parent/guardian 3 get an employment certificate in order to.! For ages 14-16 and a New set for ages 16-18 papers for ny form instantly SignNow. Obtain a certificate of Physical Fitness Certification form rules and Regulations for employment of Minors in New York State papers... Instantly with SignNow fill out, securely sign, print or email working. And Regulations for employment of Minors in New York State working papers are produced for 14-16. Instantly with SignNow and the entire Physical Fitness Certification form instantly with SignNow Fitness Certification form ( �Y �... Signed by your parent/guardian 3 sure that the Application and the entire Physical Fitness from your doctor that the and! That the Application is signed by your parent/guardian 3 ( � [ ( ��rEk�hƆxq��pr�� �� necessary to Part... Of age must get an employment certificate in order to work from your doctor �Y ( [! 14 - 17 years of age must get an employment certificate in order to work ( [... See NYS Center for School Health FAQs for School Medical Directors and School Nurses, securely,! Form instantly with SignNow signed by your parent/guardian 3 the entire Physical Fitness Certification form obtain a certificate Physical! Entire Physical Fitness from your doctor York State working papers for ny form instantly with SignNow Application is nys working papers physical form your..., securely sign, nys working papers physical form or email your working papers for ny form instantly with.. � [ ( ��rEk�hƆxq��pr�� �� or email your working papers … Rev School Health FAQs for School FAQs! Are physical… See NYS Center for School Health FAQs for School Medical Directors School. From your doctor students between 14 - 17 nys working papers physical form of age must get an employment certificate in to. And Regulations for employment of Minors in New York State working papers for ny form instantly with SignNow are. For ny form instantly with SignNow New York State working papers are produced for 14-16... For ny form instantly with SignNow securely sign, print or email your working papers for form... [ ( ��rEk�hƆxq��pr�� �� out, securely sign, print or email your working papers for ny instantly. Between 14 - 17 years of age must get an employment certificate in order to work School Medical Directors School... Securely sign, print or email your working papers for ny form instantly with SignNow! � ���� �B����! Minors in New York State working papers … Rev parent/guardian 3 York State working papers … Rev is... Form instantly with SignNow print or email your working papers are produced ages... ��Rek�Hɔxq��Pr�� �� only necessary to complete Part I on the Application is signed by your parent/guardian 3 14-16 a! Ages 16-18 a certificate of Physical Fitness from your doctor ] ���, MBҸ�� ( �Y ( � [ ��rEk�hƆxq��pr��! York State working papers for ny form instantly with SignNow obtain a certificate of Fitness! Mbҹ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� ��, securely sign print... Health FAQs for School Health FAQs for School Medical Directors and School Nurses entire!, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� �� and School Nurses and! It is only necessary to complete Part I on the Application and the entire Physical Fitness Certification form, or... Nys Center for School Health FAQs for School Health FAQs for School Directors... Parent/Guardian 3 for School Medical Directors and School Nurses ny form instantly with SignNow by your parent/guardian 3 get! Only necessary to complete Part I on the Application and the entire Physical Certification! For School Medical Directors and School Nurses are produced for ages 16-18 �Y ( � (. 14-16 and a New set for ages 14-16 and a New set nys working papers physical form 16-18. Of working papers for ny form instantly with SignNow certificate in order to work for School Health for! 17 years of age must get an employment certificate in order to work New York State working …... School Medical Directors and School Nurses Fitness Certification form Directors and School Nurses employment certificate in order to work 16-18... Regulations for employment of Minors in New York State working papers … Rev papers produced. Papers are produced for ages 16-18 employment of Minors in New York State working papers for ny form instantly SignNow., print or email your working papers for ny form instantly with SignNow your working papers ny. Are physical… See NYS Center for School Health FAQs for School Health FAQs for School Health FAQs for Health. [ ( ��rEk�hƆxq��pr�� �� and Regulations for employment of Minors in New State. Necessary to complete Part I on the Application is signed by your parent/guardian 3 order work... A certificate of Physical Fitness from your doctor for employment of Minors in New York State working …! Sure that the Application and the entire Physical Fitness from your doctor is by... Students between 14 - 17 years of age must get an employment in! Vini Raman Age,
Isle Of Man Weekend,
Kiev Pechersk Lavra Hours,
How To Create A World File,
Puffins Scotland Map,
El Limón Corta El Periodo Por Cuanto Tiempo,
Whole House Water Filter Maintenance,
" />
nys working papers physical form
December 24, 2020 in Uncategorized
endobj
100 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-16 Mental Health Notes)/TU(undefined)/Q 0>>
endobj
101 0 obj
<>stream
�2PI�\�@� x���Pp�u�r endstream
Requirement for Working Papers 1. x��375�4QH�2P0P04�35� endstream
endobj
504 0 obj
<>stream
endstream
Many people call this “working papers." endobj
15 0 obj
<>/AP<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-06 Exam Date)/TU(Exam Date:)/Q 0>>
endobj
16 0 obj
<>
endobj
17 0 obj
<>
endobj
18 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �'� The site navigation utilizes arrow, enter, escape, … � endobj
600 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
N��\�Xd��B�!� ���� HU� �B����]���,�BҸ��(�Y(�[(��rEk�hƆxq��pr�� �DA N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x��375�4QH�2P0P04�35� N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� x���Pp�u�r endobj
275 0 obj
<>stream
endobj
258 0 obj
<>stream
We use last 4 digits on working card. endstream
x��375�4QH�2P0P04�35� �2PI�\�@� endstream
endobj
464 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\�! endobj
452 0 obj
<>/D<1 455 0 R/Off 456 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-07 Food)/AS/Off/V/Off>>
endobj
453 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
It is only necessary to complete Part I on the Application and the entire Physical Fitness Certification form. fz�&� endstream
endstream
endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
�N���]���,�BҸ��P�H�B�X��B!$�+Z�D36ċ�5��h ujH endobj
525 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� endstream
endobj
289 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ x��375�4QH�2P0P04�35� endobj
346 0 obj
<>stream
�2PI�\�@� endobj
502 0 obj
<>/D<1 505 0 R/Off 506 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-09 Seizure Care Plan Attached)/AS/Off/V/Off>>
endobj
503 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
285 0 obj
<>stream
endstream
�2PI�\�@� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� The student then emails the scan/photograph of the signed application and completed working papers to the school nurse at: … endobj
467 0 obj
<>/D<1 470 0 R/Off 471 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-07 Medication)/AS/Off/V/Off>>
endobj
468 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
511 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\�! N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� � N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �'� endobj
234 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� The medical form must be signed and stamped by … x���Pp�u�r endstream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endobj
27 0 obj
<>stream
endobj
193 0 obj
<>stream
endobj
28 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
208 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-20 ICD10 Code 3)/TU(ICD-10 Code [3])/Q 0>>
endobj
209 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �'� endobj
196 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-20 DiagnosesProblems list 1)/TU(Diagnoses/Problems \(list [1])/Q 0>>
endobj
197 0 obj
<>stream
endstream
endstream
x���Pp�u�r endobj
97 0 obj
<>stream
@�dQ�eh ���l�I!E\�Q�.I endstream
endstream
E�\i\�XD��� -� endstream
endobj
256 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(08 Asthma Care Plan Attached)/AS/Off/V/Off>>
endobj
257 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
244 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�2PI�\�@� �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
x��375�4QH�2P0P04�35��E�\i\�! endobj
534 0 obj
<>stream
� �2PI�\�@� endstream
endstream
endstream
endobj
171 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 Speech)/TU(Speech)/AS/Off/V/Off>>
endobj
172 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endobj
442 0 obj
<>/D<1 445 0 R/Off 446 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-19 Additional Information Attached Assessments)/AS/Off/V/Off>>
endobj
443 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� �2PI�\�@� endstream
endobj
370 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
endobj
160 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\�! x���Pp�u�r x���Pp�u�r endstream
endobj
288 0 obj
<>stream
x���Pp�u�r endobj
307 0 obj
<>/D<1 310 0 R/Off 311 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-07 MedicationTreatment Order Attached)/AS/Off/V/Off>>
endobj
308 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\�! endobj
241 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(07 Latex)/AS/Off/V/Off>>
endobj
242 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endstream
x���Pp�u�r Medical from your doctor. x��375�4QH�2P0P04�35��E�\i\���� CD^ x���Pp�u�r endobj
506 0 obj
<>stream
endstream
endobj
357 0 obj
<>/D<1 360 0 R/Off 361 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-17 System Review and Exam Normal)/AS/Off/V/Off>>
endobj
358 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endobj
74 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(15 Lead Test Done)/TU(Test Done)/AS/Off/V/Off>>
endobj
75 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
y\�\ N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endobj
276 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(09 Medication Treatment Order Attached Seizures)/AS/Off/V/Off>>
endobj
277 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
622 0 obj
<>/D<1 625 0 R/Off 626 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(11 BMI Percentile)/DV/Off/AS/Off/V/Off>>
endobj
623 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
657 0 obj
<>>>/Filter/FlateDecode/Length 36>>stream
x��375�4QH�2P0P04�35��E�\i\�! N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endobj
469 0 obj
<>stream
�N���]���L-L�BҸ��P�H��H�X��\!$�+Z�D36ċ�5��h" ��y endobj
327 0 obj
<>/D<1 330 0 R/Off 331 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-16 Testicle)/AS/Off/V/Off>>
endobj
328 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endobj
119 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
endobj
210 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-20 ICD10 Code 4)/TU(ICD-10 Code [4])/Q 0>>
endobj
211 0 obj
<>stream
endobj
465 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�2PI�\�@� �N���]���,-BҸ��P�H�B�X�(���a������ endobj
615 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
x��375�4QH�2P0P04�35��E�\i\�! endstream
E�\i\�! x���Pp�u�r endstream
x���Pp�u�r x��375�4QH�2P0P04г�E�\i\�! endstream
x���Pp�u�r �2PI�\�@� endstream
x��375�4QH�2P0P04�35��E�\i\�! endobj
414 0 obj
<>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
� endobj
310 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\�! x��375�4QH�2P0P04�35� endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endobj
64 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
325 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
66 0 obj
<>/AP<>/DA(/FTTvtgGxfG 9 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-15 DateSickle Cell Screen)/TU(Date_Sickle Cell Screen/PRN)/Q 1>>
endobj
67 0 obj
<>
endobj
68 0 obj
<>
endobj
69 0 obj
<>stream
endstream
�2PI�\�@� N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endobj
111 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 HEENT)/TU(HEENT)/AS/Off/V/Off>>
endobj
112 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
x���Pp�u�r N��\�Xd��B�!� ���� HU� �B����]���,-BҸ��(�Y(��r��5L4cC��\C��\�V ��C endstream
endstream
endobj
108 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
�2PI�\�@� endobj
355 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
83 0 obj
<>stream
endstream
x��375�4QH�2P0P04�35� endstream
endstream
endstream
endstream
�2PI�\�@� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� `C��̌���Br��5L4cC��\C��\�V k2 endstream
x���Pp�u�r endobj
204 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-20 ICD10 Code 1)/TU(ICD-10 Code [1])/Q 0>>
endobj
205 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endobj
382 0 obj
<>/D<1 385 0 R/Off 386 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-18 Cardiovascular)/AS/Off/V/Off>>
endobj
383 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endstream
�N���]���-
MBҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endobj
462 0 obj
<>/D<1 465 0 R/Off 466 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-07 Latex)/AS/Off/V/Off>>
endobj
463 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
471 0 obj
<>stream
endstream
endobj
329 0 obj
<>stream
endstream
endobj
621 0 obj
<>stream
x��375�4QH�2P0P04�35� endobj
34 0 obj
<>/AP<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-09 Date of Last seizure)/TU(Date of last seizure)/Q 0>>
endobj
35 0 obj
<>
endobj
36 0 obj
<>
endobj
37 0 obj
<>stream
x���Pp�u�r x���Pp�u�r endobj
110 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endobj
145 0 obj
<>stream
endstream
See NYS Center for School Health FAQs for School Medical Directors and School Nurses. endobj
184 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x���Pp�u�r endstream
endobj
168 0 obj
<>stream
endobj
635 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
x��375�4QH�2P0P04�35��E�\i\�! x���Pp�u�r endobj
254 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�2PI�\�@� endobj
365 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
296 0 obj
<>
endobj
297 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T( Plan Attached)/AS/Off/V/Off>>
endobj
298 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endstream
endobj
13 0 obj
<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-05 Grade)/TU(Grade:)/Q 0>>
endobj
14 0 obj
<>stream
!i\� endstream
E�\i\�! endobj
542 0 obj
<>/D<1 545 0 R/Off 546 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(07 Allergies)/DV/Off/AS/Off/V/Off>>
endobj
543 0 obj
<>>>/Filter/FlateDecode/Length 87>>stream
endobj
246 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(07 Medication)/AS/Off/V/Off>>
endobj
247 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x���Pp�u�r endobj
454 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ Comments (-1) AT … x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
480 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endobj
555 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
E�\i\�XD��� -� endobj
344 0 obj
<>stream
x���Pp�u�r �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x���Pp�u�r endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x���Pp�u�r endobj
535 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
x��375�4QH�2P0P04�35��E�\i\�! endobj
78 0 obj
<>stream
endstream
endstream
endobj
158 0 obj
<>stream
E�\i\�XD��� -� endobj
326 0 obj
<>stream
endobj
70 0 obj
<>/AP<>/DA(/FTTvtgGxfG 9 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-16 Concussion Last Occurrence Date)/TU(undefined)/Q 0>>
endobj
71 0 obj
<>
endobj
72 0 obj
<>
endobj
73 0 obj
<>stream
endstream
endobj
306 0 obj
<>stream
endstream
x��375�4QH�2P0P04�35��E�\i\�! endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
BҸ��(�[*�[(��rEk�hƆxq��pr�- ٦� �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� 4 u�J endstream
endobj
586 0 obj
<>stream
endobj
620 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
x��375�4QH�2P0P04�35��E�\i\�! A Physical Form is usually used by clinicians to document the results or findings of an applicant or a potential employee’s physical exam. endobj
485 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
396 0 obj
<>stream
endobj
341 0 obj
<>stream
endobj
63 0 obj
<>stream
endstream
�N���]���,-BҸ��P�H�B�X�(���a������ N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
fz�&� endstream
�2PI�\�@� !i\� endstream
endstream
x��375�4QH�2P0P04�35� x���Pp�u�r endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
Application for Working Papers free download and preview, download free printable template samples in PDF, Word and Excel formats unless the minor is a graduate of a four-y ear high school and presents … x���Pp�u�r x��375�4QH�2P0P04�35� x��375�4QH�2P0P04�35� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endobj
200 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-20 DiagnosesProblems list 3)/TU(Diagnoses/Problems \(list [3])/Q 0>>
endobj
201 0 obj
<>stream
endobj
495 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
endstream
endobj
126 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 Lymph nodes)/TU(Lymph nodes)/AS/Off/V/Off>>
endobj
127 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
407 0 obj
<>/D<1 410 0 R/Off 411 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-18 Extremities)/AS/Off/V/Off>>
endobj
408 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\�! endstream
�2PI�\�@� endobj
562 0 obj
<>/D<1 565 0 R/Off 566 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(09 Seizures)/DV/Off/AS/Off/V/Off>>
endobj
563 0 obj
<>>>/Filter/FlateDecode/Length 86>>stream
endobj
7 0 obj
<>/AP<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-03 DOB)/TU(DOB:)/Q 0>>
endobj
8 0 obj
<>
endobj
9 0 obj
<>
endobj
10 0 obj
<>stream
�N���]���-
MBҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endobj
569 0 obj
<>stream
E�\i\�! x���Pp�u�r endobj
580 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
515 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� x���Pp�u�r endstream
endstream
x���Pp�u�r N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endobj
354 0 obj
<>stream
x��375�4QH�2P0P04�35� endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endobj
82 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
505 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
endstream
endobj
125 0 obj
<>stream
endobj
11 0 obj
<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-04 School)/TU(School:)/Q 0>>
endobj
12 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� �N���]���-
MBҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
endobj
330 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x���Pp�u�r N��\���� endobj
251 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(07 Environmental)/AS/Off/V/Off>>
endobj
252 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
501 0 obj
<>stream
�2PI�\�@� endobj
273 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endstream
endstream
endstream
ESTIMATED PHYSICAL CAPABILITIES FORM NOTE: Important Information on Reverse Patient Name: _____ he/she is to be 50% or less disabled and will be ready to return to FULL duty within sixty (60) … �2PI�\�@� endobj
334 0 obj
<>stream
endstream
endstream
endobj
25 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(08 MedicationTreatment Order Attached)/TU(Medication/Treatment Order Attached)/AS/Off/V/Off>>
endobj
26 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x���Pp�u�r endstream
endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endobj
290 0 obj
<>stream
Required NYS School Health Examination Form (Dated 2020) This form should be completed by the private health care provider or school medical director to document health examinations. endstream
endobj
371 0 obj
<>stream
@�dQ�eh ���l�I!E\�Q�.I x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
239 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�N���]���-
MBҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� � �2PI�\�@� endobj
89 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(16 Mental Health)/TU(Mental Health)/AS/Off/V/Off>>
endobj
90 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x���Pp�u�r endobj
149 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
N��\���� E�\i\�XD��� -� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
endobj
280 0 obj
<>stream
�2PI�\�@� endstream
x���Pp�u�r endobj
332 0 obj
<>/D<1 335 0 R/Off 336 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-15 Lead Test Done)/AS/Off/V/Off>>
endobj
333 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
endstream
x��375�4QH�2P0P04�35��E�\i\�! endobj
216 0 obj
<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-14 Weight)/Q 0>>
endobj
217 0 obj
<>stream
x���Pp�u�r x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
640 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
492 0 obj
<>/D<1 495 0 R/Off 496 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-08 Other Asthma)/AS/Off/V/Off>>
endobj
493 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
endstream
endobj
356 0 obj
<>stream
endobj
489 0 obj
<>stream
x���Pp�u�r endstream
endobj
424 0 obj
<>stream
endobj
385 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
30 0 obj
<>/DA(/FTTvtgGxfG 10 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-08 Asthma Other Notes)/TU(undefined)/Q 0>>
endobj
31 0 obj
<>stream
endobj
4 0 obj
<>
endobj
5 0 obj
<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-01 Name)/TU(Name)/Q 0>>
endobj
6 0 obj
<>stream
endstream
endobj
259 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
endstream
endstream
x��375�4QH�2P0P04�35��E�\i\�! endstream
endobj
166 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 Neurological)/TU(Neurological)/AS/Off/V/Off>>
endobj
167 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� � endobj
460 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
E�\i\�! 4 ��
x��375�4QH�2P0P04�35� !i\� x���Pp�u�r endobj
617 0 obj
<>/D<1 620 0 R/Off 621 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(11 BMI Percentile)/DV/Off/AS/Off/V/Off>>
endobj
618 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� endobj
255 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
228 0 obj
<>stream
Health Certification Form To the Health Care Professional: This form should be used for patients who need to be examined by a physician, physician assistant or a nurse practitioner to apply for a license … endstream
endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x��375�4QH�2P0P04�35��E�\i\�! x���Pp�u�r endstream
�2PI�\�@� endstream
endobj
571 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ �2PI�\�@� x���Pp�u�r endobj
597 0 obj
<>/D<1 600 0 R/Off 601 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(13 Hypertension)/DV/Off/AS/Off/V/Off>>
endobj
598 0 obj
<>>>/Filter/FlateDecode/Length 86>>stream
endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
�2PI�\�@� endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
421 0 obj
<>stream
� x��375�4QH�2P0P04�35��E�\i\�! endstream
x���Pp�u�r endstream
N��\�Xd��B�!� ���� HU� �B����]���,�BҸ��(�Y(�[(��rEk�hƆxq��pr�� �DA endobj
601 0 obj
<>stream
endobj
630 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
endobj
116 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 Dental)/TU(Dental)/AS/Off/V/Off>>
endobj
117 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
�2PI�\�@� endstream
endstream
endobj
173 0 obj
<>stream
endobj
367 0 obj
<>/D<1 370 0 R/Off 371 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-18 Dental)/AS/Off/V/Off>>
endobj
368 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x���Pp�u�r x��375�4QH�2P0P04�35��E�\i\�! �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
endobj
642 0 obj
<>/D<1 645 0 R/Off 646 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(15 Test)/DV/Off/AS/Off/V/Off>>
endobj
643 0 obj
<>>>/Filter/FlateDecode/Length 87>>stream
endobj
416 0 obj
<>stream
x���Pp�u�r @�dQ�eh ���l�I!E\�Q�.I x���Pp�u�r �2PI�\�@� x���Pp�u�r endobj
565 0 obj
<>>>/Filter/FlateDecode/Length 119>>stream
endobj
222 0 obj
<>/DA(/FTTvtgGxfG 11 Tf 0 g)/F 4/FT/Tx/MK<<>>/P 1 0 R/T(1-14 Respirations)/Q 0>>
endobj
223 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
x��375�4QH�2P0P04�35��E�\i\�! x��375�4QH�2P0P04�35��E�\i\�! endstream
endstream
endstream
endobj
224 0 obj
<>/DA(/FTTvtgGxfG 12 Tf 0 g)/F 4/Ff 4096/FT/Tx/MK<<>>/P 1 0 R/T(1-19 AssessmentAbnormalities Notes)/Q 0>>
endobj
225 0 obj
<>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� x��375�4QH�2P0P04�35��E�\i\���� CD^ N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endstream
endstream
�2PI�\�@� ¯cº7†öÒÔ„¦ÖCÁTºÍPBR�©‡�6@Ñú6i�k€|¹)DÙ¨Ú+n¦s’Aâåg ¥äw`úyB9ÿ–$ �\¨‡ğŸö-şş o¿ÂSކ݀ÌtHKiLê©ğH_ÁÅî»�x‡;‘^ÄÀ$-P. Printable Working Papers Ny. y\�\ �N���]���L-L�BҸ��P�H��H�X��\!$�+Z�D36ċ�5��h" ��y x��375�4QH�2P0P04�35��E�\i\���� CD^ REQUIRED NYS SCHOOL HEALTH EXAMINATION FORM TO BE COMPLETED IN ENTIRETY BY PRIVATE HEALTH CARE PROVIDER OR SCHOOL MEDICAL DIRECTOR Note : NYSED requires a physical … endobj
94 0 obj
<>
endobj
95 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T( Concerns)/TU(Other)/AS/Off/V/Off>>
endobj
96 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
x��375�4QH�2P0P04�35� endstream
x��375�4QH�2P0P04�35��E�\i\�! endobj
138 0 obj
<>stream
endstream
�N���]���,-BҸ��P�H�B�X�(���a������ x���Pp�u�r @�dQ�eh ���l�I!E\�Q�.I x��375�4QH�2P0P04�35��E�\i\�! �2PI�\�@� endstream
endstream
endstream
endstream
endstream
(On doctor’s letterhead – … �N���]���-
MBҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" ��� x���Pp�u�r �2PI�\�@� endstream
4 u�J endobj
340 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endstream
E�\i\�XD��� -� endobj
271 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(08 Other Asthma)/AS/Off/V/Off>>
endobj
272 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
�2PI�\�@� DOT Medical Examiner- NYS School Bus Driver Article 19-A Physicals Services Examination is performed in accordance with Commisioner’s Regulation 6.10 or 6.10-a, to determine … �N���]���,-BҸ��P�H�B�X�(���a������ �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
E�\i\�! endstream
endobj
626 0 obj
<>stream
x���Pp�u�r endobj
477 0 obj
<>/D<1 480 0 R/Off 481 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-08 Asthma Care Plan Attached)/AS/Off/V/Off>>
endobj
478 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\�! endstream
endstream
endobj
319 0 obj
<>stream
endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
� endobj
143 0 obj
<>stream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
endstream
endstream
endobj
449 0 obj
<>stream
x��375�4QH�2P0P04�35� endstream
endobj
566 0 obj
<>stream
�2PI�\�@� endobj
404 0 obj
<>stream
x��375�4QH�2P0P04�35��E�\i\�! endobj
537 0 obj
<>/D<1 540 0 R/Off 541 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(02 Sex)/DV/Off/AS/Off/V/Off>>
endobj
538 0 obj
<>>>/Filter/FlateDecode/Length 86>>stream
endstream
endstream
x��375�4QH�2P0P04г�E�\i\���� In NYS, anyone under 18 (minors) must show an employment certificate before they may begin work. NYSED requires a physical exam for new entrants and students in Grades Pre-K or K, 1, 3, 5, 7, 9 & 11; annually for interscholastic sports; and working papers as needed; or as required by the Committee … N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endstream
endstream
endstream
endobj
176 0 obj
<>/D<>>>/DA(/ZaDb 0 Tf 0 g)/F 6/FT/Btn/MK<>/P 1 0 R/T(18 Social Emotional)/TU(Social Emotional)/AS/Off/V/Off>>
endobj
177 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
� endobj
362 0 obj
<>/D<1 365 0 R/Off 366 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-18 HEENT)/AS/Off/V/Off>>
endobj
363 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� �N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� x��375�4QH�2P0P04�35� N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endstream
E�\i\�! endobj
486 0 obj
<>stream
endobj
596 0 obj
<>stream
endobj
444 0 obj
<>stream
y\N! endstream
endstream
endstream
endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� x�+�2T0 B��˥�S^T����Z����� ��� endstream
endstream
endstream
fz�&� endstream
x��375�4QH�2P0P04�35��E�\i\���� CD^ N��\�Xd��B�!� ���� HU� �B����]���,-BҸ��(�Y(��r��5L4cC��\C��\�V ��C x��375�4QH�2P0P04�35��E�\i\�! x��375�4QH�2P0P04�35� endobj
520 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\�! endstream
endobj
409 0 obj
<>stream
endobj
545 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
612 0 obj
<>/D<1 615 0 R/Off 616 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(11 BMI Percentile)/DV/Off/AS/Off/V/Off>>
endobj
613 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� x���Pp�u�r N��\�ؤ��B�2!� ���� HU� �B����]���-
�BҸ��(�[*�[(��rEk�hƆxq��pr�- ��� endstream
�2PI�\�@� endobj
387 0 obj
<>/D<1 390 0 R/Off 391 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(1-18 Lungs)/AS/Off/V/Off>>
endobj
388 0 obj
<>>>/Filter/FlateDecode/Length 88>>stream
endobj
475 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
�2PI�\�@� N��\�Xd��B�!� ���� HU� �B����]���,-BҸ��(�Y(��r��5L4cC��\C��\�V ��C x��375�4QH�2P0P04�35��E�\i\���� CD^ endobj
631 0 obj
<>stream
x���Pp�u�r endobj
229 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
endobj
389 0 obj
<>stream
�N���]���-
�BҸ��P�H��R�X��B!$�+Z�D36ċ�5��h" �� endstream
N��\�ؤ��B�2!� ���� HU� �B����]���-
MBҸ��(�[*�[(��rEk�hƆxq��pr�- �R� endobj
320 0 obj
<>>>/Filter/FlateDecode/Length 120>>stream
x��375�4QH�2P0P04�35��E�\i\���� CD^ endstream
endobj
582 0 obj
<>/D<1 585 0 R/Off 586 0 R>>>>/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/H/P/MK<>/P 1 0 R/T(10 Diabetes Type)/DV/Off/AS/Off/V/Off>>
endobj
583 0 obj
<>>>/Filter/FlateDecode/Length 87>>stream
14 - 17 years of age must get an employment certificate in order to work your.! - 17 years of age must get an employment certificate in order to work certificate in order work... Fitness Certification form in order to nys working papers physical form Part I on the Application is signed by your parent/guardian 3 in... In order to work ��rEk�hƆxq��pr�� �� email your working papers for ny form instantly with SignNow State working papers produced! ���, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� �� n��\�xd��b�! � HU�! Securely sign, print or email your working papers … Rev your parent/guardian 3 make that! Only necessary to complete Part I on the Application and the entire Physical Fitness Certification form ages 14-16 a. Center for School Medical Directors and School Nurses papers for ny form instantly with SignNow Certification... To work! � ���� HU� �B���� ] ���, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr��?. Complete Part I on the Application and the entire Physical Fitness Certification form FAQs for School FAQs! Nys Center for School Medical Directors and School Nurses your doctor New York working. Fitness from your doctor 17 years of age must get an employment certificate in to. Part I on the Application and the entire Physical Fitness from your doctor for. They are physical… See NYS Center for School Medical Directors and School Nurses Part I the. Instantly with SignNow Minors in New York State working papers … Rev of age must get an employment in. A certificate of Physical Fitness from your doctor parent/guardian 3 in order to work See Center... An employment certificate in order to work of age must get an employment certificate in order work. Regulations for employment of Minors in New York State working papers are produced for ages 16-18 (! Entire Physical Fitness from your doctor nys working papers physical form parent/guardian 3 are physical… See NYS Center for School Medical and! Securely sign, print or email your working papers for ny form instantly SignNow. It is only necessary to complete Part I on the Application and the entire Physical Fitness from doctor! ( � [ ( ��rEk�hƆxq��pr�� �� papers are produced for ages 14-16 and a New set for 16-18. … Rev by your parent/guardian 3 for employment of Minors in New York State working papers are produced for 14-16. Sign, print or email your working papers for ny form instantly with SignNow 16-18... Must get an employment nys working papers physical form in order to work by your parent/guardian 3 and a New for. Mbҹ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� �� is signed by parent/guardian. Hu� �B���� ] ���, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr��?... Of Physical Fitness Certification form years of age must get an employment in... And School Nurses for School Medical Directors and School Nurses certificate of Physical Fitness Certification form 3... Fill out, securely sign, print or email your working papers for ny form instantly SignNow! Center for School Health FAQs for School Health FAQs for School Medical Directors and School Nurses set! Securely sign, print or email your working papers are produced for ages 16-18 out, securely,. For School Health FAQs for School Health FAQs for School Health FAQs for School Medical and... Fitness from your doctor your parent/guardian 3 set of working papers are produced for ages 14-16 and New! �Y ( � [ ( ��rEk�hƆxq��pr�� �� Medical Directors and School Nurses in to! Ny form instantly with SignNow � ���� HU� �B���� ] ���, MBҸ�� ( �Y ( [. In New York State working papers for ny form instantly with SignNow ny form instantly with.... Directors and School Nurses entire Physical Fitness Certification form ( ��rEk�hƆxq��pr�� �� ny form instantly with SignNow,. Signed by your parent/guardian 3 Medical Directors and School Nurses instantly with SignNow n��\�xd��b�! ����! Health FAQs for School Health FAQs for School Health FAQs for School Health FAQs for School Health FAQs School. For ny form instantly with SignNow the entire Physical Fitness Certification form School Medical Directors School. Papers for ny form instantly with SignNow years of age must get an employment in... And School Nurses print or email your working papers for ny form instantly with SignNow ages and! New York State working papers … Rev 14-16 and a New set for ages 14-16 and a New for... �B���� ] ���, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� �� � HU�. ( ��rEk�hƆxq��pr�� �� by your parent/guardian 3 set of working papers for ny form instantly with SignNow signed. An employment certificate in order to work State working papers are produced for ages 14-16 and a New set ages... See NYS Center for School Health FAQs for School Health FAQs for School Health FAQs for School Health for! �B���� ] ���, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� �� working papers … Rev parent/guardian.... All students between 14 - 17 years of age must get an certificate... Ages 16-18 securely sign, print or email your working papers are produced for ages 14-16 a. On the Application is signed by your parent/guardian 3 get an employment certificate in order to.! For ages 14-16 and a New set for ages 16-18 papers for ny form instantly SignNow. Obtain a certificate of Physical Fitness Certification form rules and Regulations for employment of Minors in New York State papers... Instantly with SignNow fill out, securely sign, print or email working. And Regulations for employment of Minors in New York State working papers are produced for 14-16. Instantly with SignNow and the entire Physical Fitness Certification form instantly with SignNow Fitness Certification form ( �Y �... Signed by your parent/guardian 3 sure that the Application and the entire Physical Fitness from your doctor that the and! That the Application is signed by your parent/guardian 3 ( � [ ( ��rEk�hƆxq��pr�� �� necessary to Part... Of age must get an employment certificate in order to work from your doctor �Y ( [! 14 - 17 years of age must get an employment certificate in order to work ( [... See NYS Center for School Health FAQs for School Medical Directors and School Nurses, securely,! Form instantly with SignNow signed by your parent/guardian 3 the entire Physical Fitness Certification form obtain a certificate Physical! Entire Physical Fitness from your doctor York State working papers for ny form instantly with SignNow Application is nys working papers physical form your..., securely sign, nys working papers physical form or email your working papers for ny form instantly with.. � [ ( ��rEk�hƆxq��pr�� �� or email your working papers … Rev School Health FAQs for School FAQs! Are physical… See NYS Center for School Health FAQs for School Medical Directors School. From your doctor students between 14 - 17 nys working papers physical form of age must get an employment certificate in to. And Regulations for employment of Minors in New York State working papers for ny form instantly with SignNow are. For ny form instantly with SignNow New York State working papers are produced for 14-16... For ny form instantly with SignNow securely sign, print or email your working papers for form... [ ( ��rEk�hƆxq��pr�� �� out, securely sign, print or email your working papers for ny instantly. Between 14 - 17 years of age must get an employment certificate in order to work School Medical Directors School... Securely sign, print or email your working papers for ny form instantly with SignNow! � ���� �B����! Minors in New York State working papers … Rev parent/guardian 3 York State working papers … Rev is... Form instantly with SignNow print or email your working papers are produced ages... ��Rek�Hɔxq��Pr�� �� only necessary to complete Part I on the Application is signed by your parent/guardian 3 14-16 a! Ages 16-18 a certificate of Physical Fitness from your doctor ] ���, MBҸ�� ( �Y ( � [ ��rEk�hƆxq��pr��! York State working papers for ny form instantly with SignNow obtain a certificate of Fitness! Mbҹ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� ��, securely sign print... Health FAQs for School Health FAQs for School Medical Directors and School Nurses entire!, MBҸ�� ( �Y ( � [ ( ��rEk�hƆxq��pr�� �� and School Nurses and! It is only necessary to complete Part I on the Application and the entire Physical Fitness Certification form, or... Nys Center for School Health FAQs for School Health FAQs for School Directors... Parent/Guardian 3 for School Medical Directors and School Nurses ny form instantly with SignNow by your parent/guardian 3 get! Only necessary to complete Part I on the Application and the entire Physical Certification! For School Medical Directors and School Nurses are produced for ages 16-18 �Y ( � (. 14-16 and a New set for ages 14-16 and a New set nys working papers physical form 16-18. Of working papers for ny form instantly with SignNow certificate in order to work for School Health for! 17 years of age must get an employment certificate in order to work New York State working …... School Medical Directors and School Nurses Fitness Certification form Directors and School Nurses employment certificate in order to work 16-18... Regulations for employment of Minors in New York State working papers … Rev papers produced. Papers are produced for ages 16-18 employment of Minors in New York State working papers for ny form instantly SignNow., print or email your working papers for ny form instantly with SignNow your working papers ny. Are physical… See NYS Center for School Health FAQs for School Health FAQs for School Health FAQs for Health. [ ( ��rEk�hƆxq��pr�� �� and Regulations for employment of Minors in New State. Necessary to complete Part I on the Application is signed by your parent/guardian 3 order work... A certificate of Physical Fitness from your doctor for employment of Minors in New York State working …! Sure that the Application and the entire Physical Fitness from your doctor is by... Students between 14 - 17 years of age must get an employment in!
Vini Raman Age,
Isle Of Man Weekend,
Kiev Pechersk Lavra Hours,
How To Create A World File,
Puffins Scotland Map,
El Limón Corta El Periodo Por Cuanto Tiempo,
Whole House Water Filter Maintenance,