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The Pennsylvania Public School Code Section 1402. Health Services (e) requires that students upon original entry, sixth grade and 11th grade be given a "comprehensive appraisal" of their health. The physical is to be completed within 4 months prior to the start of the school year. In addition, Section 1402(c) requires the completion of medical questionnaires which are to become part of the student's health record.

This requirement may be completed by the student's primary care provider (MD, DO, CRNP, PA) or by the school provider. Schools may accept exams on the private physician's own form as long as it comparable to the DOH approved form.

Physical Examination Form 

Physical Examination Form - Spanish 


The Pennsylvania Public School Code requires certain school health services for all children of school age, regardless of the school setting or disability.  Dental screenings shall be required on original entry into school and in grades three and seven.(PA Dept of Health)

Private Dentist Report