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Forms Library
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Private Physical Examination Form
Private or School Physical Examination, PA Dept. of Health H511.336 (rev. 9/2012)
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Private Dentist Report (H514.027 02-2023) And Low-Cost Dental Clinics
PA_State_Dental_Form-W-Low-Cost_Dental_Clinics_09-2023.pdf 634.41 KB (Last Modified on September 20, 2023) -
Homebound Instruction Extension Request
NOTE: To be used by students currently receiving homebound instruction within the same school year.
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Extension Request For Medical Transportation
Note: To be used by a student currently receiving medical transportation within the same school year.