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Private Physician's physical exam form.


Physical exams are required by the State for K, 6th and 11th grade.

Please download and print this form to take to your physician during your child's regular well visit.

Mail or fax(570-831-2332) the completed forms as soon as possible.

Any questions feel free to email mnamey@hanoverarea.net. Thank you!

Private Physician's Physical Exam Form
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