Universal Health Certificate.pdf

DOH Universal Health Certificate_2019_0.pdf
Preview of Universal Health Certificate
🔗 Source: dchealth.dc.gov
📊 Size: 309 KB
👤 Author: Batchelder, Emily (DCHR)
⬇️ Downloads: 96

Summary

The Universal Health Certificate is a form required by DC Official Code §38-602 for reporting a child's physical health to their school or child care facility. The form has four parts:
1. Child Personal Information: completed by the parent/guardian, including demographic information, insurance, and emergency contact details.
2. Child’s Health History, Exam, and Recommendations: completed by a licensed health care provider, including health exam results, vision and hearing screenings, and any health concerns.
3. Immunization Information: completed by a licensed health care provider, listing the child's immunization history.
4. Licensed Health Practitioner’s Certifications: completed by a licensed health care provider, certifying the child's health status and clearance for school activities.

Description

The Universal Health Certificate is a form required by DC Official Code §38-602 for reporting a child's physical health to their school or child care facility.

Technical Information

  • File Format: PDF
  • File Size: 309 KB
  • Pages: 2
  • Language: EN
  • Author: Batchelder, Emily (DCHR)
  • Total Downloads: 96
  • Last Updated: 1 month ago

Document Overview

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