WebHAR-3 REV. 4/2010 To be maintained in the student’s ... If your child does not have health insurance, call 1-877-CT-HUSKY Address (Street, Town and ZIP code) Parent/Guardian … http://www.egfpct.com/Portals/0/Files/Forms/State%20of%20CT%20HAR%20School%20Form.pdf

Health Forms/Immunizations - Greenwich Public Schools

WebApr 10, 2024 · Tools meant to be used in a washing machine or dryer were tested by applying faux pet hair to items of clothing likely to trap pet hair, like fluffy sweaters, and then washing and drying as you ... WebPart 3 — Oral Health Assessment/Screening HAR-3 REV. 1/2024 Health Care Provider must complete and sign the oral health assessment. To Parent(s) or Guardian(s): State … green gorilla movers anchorage

HRD-All Forms - ct

WebForm Har 3 is an important document for any business. It can be used to track inventory, evaluate finances and more. In order to make the most of Form Har 3, it's important to understand how to use it correctly. ... Prepare the ct health form PDF by providing the data needed for each individual part. Write the information in Signature, of ... WebHealth Assessment Record (HAR-3) form 236,100 — No overrun Flat: 11” × 17” Folded: 8.5” × 11” 1/1 Black None 20# Light Blue #4 Sulphite Press-ready PDF Shrinkwrap in … WebHAR-3 REV. 4/2010 Signature of health care provider Date Signed Printed/Stamped Provider Name and Phone Number Physical Exam Student Name Birth Date Date of Exam °ÊI have reviewed the health history information provided in Part I of this form Note: *Mandated Screening/Test to be completed by provider under Connecticut State Law green goose cleaning