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Middlesex Massachusetts online Form 1094-B: What You Should Know

Records must be maintained for two years. Form number: 232-9. Audience: MCPS Staff. Last revised: February 2018. An MCPS staff member must review the report and sign by date. Records must be maintained for two years. Form Number: 239. Audience: MCPS Staff. Last revised: February 2018. An MCPS staff member must review the student health form (Form SR-6) and sign by date. Records must be maintained for two years. MCPS Form SR-6 — Health History Form. Form Number: 234-18. Audience: School Board, and/or individual. Last revised: December 2012. An MCPS teacher/assistant administrator may review and sign a Form SR-6 (health history form) and present it to the Board of Education. MCPS staff must maintain a copy of all student health form(s). Form number: 234-20. Audience: School Board, and/or individual. Last revised: December 2012. An MCPS teacher/assistant administrator may review and sign a Form SR-6 (health history form) and present it to the Board of Education. MCPS staff must maintain a copy of all student health form(s). Other Health Form(s) — A copy of the student's other health form(s) with the student's signature must be maintained. Form Number: 234-27. Audience: MCPS Staff. Last revised: December 2013. An MCPS teacher/assistant must review and sign a Form SR-6 (health history form), present it to the Board of Education if the student is 18 years or older, and keep a copy for two years. MCPS staff must maintain a copy of all student health form(s). MCPS Form SR-6-Health History Form (MCPS form SR-6), Form Number: 239-1. Audience: MCPS Staff. Last revised: February 2018. A parent or responsible adult may sign on behalf of a child who is 17 years old or older. Each parent or responsible adult must sign a Form SR-5 (Parental Consent Form) and keep the original for three years. Records must be maintained for two years. Form Number: 239-3. Audience: MCPS Staff. Last revised: February 2018.

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