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Please send all necessary files to Health Clerk Melissa Jimenez.

Contact Email: mjimenez3@rialtousd.org

Phone: (909) 820-7943

Physician's Recommendations For Medication Form - Eng & Spa

Physicians Recommendations For Medication Form - Eng Spa.pdf 299.25 KB (Last Modified on July 22, 2024)

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Report of Health Examination For School Entry - Eng & Spa

Report of Health Examination for School Entry - Eng Spa.pdf 162.73 KB (Last Modified on July 22, 2024)

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CDPH Oral Health Assessment Form

CDPH Oral Health Assessment Form.pdf 657.03 KB (Last Modified on July 22, 2024)

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Special Meals Accomodation Form

Special Meals Accomodation Form.pdf 381.84 KB (Last Modified on July 22, 2024)

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