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Albany Student Health Appraisal Form by api-153903456 is a document available to read on EtoBox.

CITY school DISTRICT of ALB ANY BUREAU of HEALTH AND PHYSICAL EDUCATION STUDENT HE ALTH APPRAISAL Date of Birth______________ None given today 4th grade _________ Immunization record attached 5th school ________________________ SICKLE CELL SCREEN Positive PPD Negative Date Date Positive LEAD SCREEN Results: Negative Date Vision--without glasses / contact lenses Vision--with glasses /

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api-153903456
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