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Form 14 Hawaii 2013

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Screening (Check if Yes) Reviewed Immunization Record (Check if Yes) Nutrition Varicella Immunity Secondary to Disease (DATE) Provider’s Stamp or Printed Name Provider’s Signature Immunizations (Vaccines, Dates Given: Month/Day/Year) DTaP, DTP, DT, Tdap or Td Type Polio (IPV or OPV) Type Hib (Haemophilus influenzae type b ) Pneumococcal Conjugate Dental Examination Extremities Scoliosis Skin Nervous System Abdomen Nose Throat R. L. R. L. Ears Vision...

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What is the Form 14 Hawaii

The Form 14 Hawaii, commonly referred to as the Hawaii school physical form, is a document required for students participating in school sports or activities. This form ensures that a student is physically fit to engage in athletic activities and is typically completed by a licensed healthcare provider. It gathers essential health information, including medical history, physical examination results, and any necessary immunization records.

How to use the Form 14 Hawaii

The Hawaii Form 14 is primarily used by schools to assess the health status of students before they participate in sports. Parents or guardians must complete the initial sections of the form, providing personal information about the student. Afterward, a healthcare provider must conduct a physical examination and complete the remaining sections, certifying that the student is fit for participation. Once completed, the form is submitted to the school’s athletic department or administration.

Steps to complete the Form 14 Hawaii

Completing the Form 14 Hawaii involves several key steps:

  1. Obtain the form from the school or download it from a trusted source.
  2. Fill out the student’s personal information, including name, date of birth, and school year.
  3. Schedule an appointment with a licensed healthcare provider for a physical examination.
  4. During the examination, the healthcare provider will assess the student’s health and complete the required sections of the form.
  5. Review the completed form for accuracy and ensure all necessary signatures are present.
  6. Submit the form to the appropriate school official or athletic department.

Legal use of the Form 14 Hawaii

The legal use of the Form 14 Hawaii is critical for ensuring student safety in school sports. By requiring a physical examination, schools can mitigate risks associated with athletic participation. The form must be completed accurately and submitted in a timely manner to comply with school policies and state regulations. Failure to provide a valid Form 14 may result in a student being barred from participating in sports.

Key elements of the Form 14 Hawaii

Key elements of the Form 14 Hawaii include:

  • Student Information: Name, age, and school details.
  • Medical History: Previous injuries, surgeries, and chronic conditions.
  • Physical Examination Results: Height, weight, blood pressure, and overall health assessment.
  • Immunization Records: Verification of required vaccinations.
  • Healthcare Provider’s Certification: Signature and contact information of the examining physician.

How to obtain the Form 14 Hawaii

The Form 14 Hawaii can be obtained through various channels. Parents or guardians can request the form directly from the school’s athletic department or administrative office. Many schools also provide downloadable versions of the form on their official websites. It is essential to ensure that the most current version of the form is used to meet school and state requirements.

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VersionsForm popularityFillable & printable
HI Form 14 20184.8 Satisfied (10597 Votes)
HI Form 14 20134.8 Satisfied (4336 Votes)
HI Form 14 20024.6 Satisfied (722 Votes)
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