Heart disease. For the treatment/operation of heart disease, we refer to the public healthcare service because we regard it as emergency treatment. We help with counselling in the further process.
Heart disease. Seizures Other Has your child been hospitalized for any serious illness or injury? : if yes, please list: _ Does your child take medication regularly? Name of Medication Does your child have any allergies? If yes, please list those allergies: _ Has your child received medical treatment for any allergic reaction? if yes, please list: Does your child have any medical condition that could require immediate FIRST AID? If yes, please describe: Are there any special services that your child requires that the school should be made aware of? _ Does your child wear glasses? Date of last eye exam: Signature: Date: Original: Nurse’s Office 7 1/21 XXXXXXX UNION FREE SCHOOL DISTRICT HEALTH OFFICE Xxxxxxx Elementary School Xxxxxxx Academy 0 Xxxxxxx Xxxxx 00 Xxxxxxxxxxxx Xxxxxx Chester, NY 10918 Chester, NY 10918 (000) 000-0000 x0000 (000) 000-0000 x0000 Fax: (000) 000-0000 Fax: (000) 000-0000 Physical exams must be performed within the 12 months prior to the beginning of the school year in which the examination is required or within 15 days after registration in order to be acceptable. If you choose to have your child examined by your health care provider, please submit the completed medical form to the school health office by September 30th. If not received by this date, your child will be scheduled for a physical with the school nurse practitioner. Annual vision, hearing and scoliosis screenings will be performed according to the New York State guidelines. COMPLETE AND RETURN THIS SECTION: I will have my child examined by my own health care provider. The examination has been scheduled for the following date: / / I would like my child to be examined in school by the nurse practitioner. Child’s name Grade Parent/Guardian’s Signature Date Original: Nurse’s Office 8 1/21 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 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 on Special Education (CSE) or Committee on Pre-School Special education (CPSE). STUDENT INFORMATION Name: Sex: M F DOB: School: Grade: Exam Date: HEALTH HISTORY Allergies ☐ No ☐ Yes, indicate type ☐ Medication/Treatment Order Attached ☐ Anaphylaxis Care Plan Attached ☐ Food ☐ Insects ☐ Latex ☐ Medication ☐ Environmental Asthma ☐ No ☐ Yes, indicate type ☐ Medication/Treatme...
Heart disease. Source: CDC The harmful effects of tobacco are not news to Georgia. According to a 2015 analysis by the Georgia Department of Public Health: • Smoking-related illnesses kill 10,000 adult Georgians every year • Of these, 4,500 die from cancers caused by tobacco • Another 2,750 die from cardiovascular disease and 3,100 die from respiratory disease • 13 infants die each year because their mothers smoked during pregnancy 4 Tobacco’s Master Settlement Agreement: How Funds Are Allocated in Georgia Smoking is most prevalent in the rural areas of the state. Not surprisingly, a higher percentage of Georgians in these areas suffer from cancer. Percentage of adult smokers by public health district (2017) PERCENT SMOKERS <16.2%
Heart disease. 2. Cancer
Heart disease. Heart condition that requires regular check-ups with doctor or medication management of condition.
