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 Click on “page by email” or print and mail or fax to: 4545 Chelan Blvd., Chelan, WA 98816
Fax 509-682-3407
MIGRANT PHYSICAL EXAMINATION
2012-13
The Migrant Education Health Program (MEHP) has set aside funds to provide physical examinations for your uninsured migrant students. As a result of the number of insured students, you should have no problem accommodating all Possible
Priority for Services Students (PPFS) as well as Non-PPFS students in need of health services. When selecting students to be served, it is necessary to first offer services to your PPFS. Once you are satisfied that you have provided services for all eligible PPFS students, you can schedule eligible current migrant students found in your 3-Year Physical Report.
To calculate the number of physical examinations needed, please utilize the following criteria. Student lists are accessed through the MSIS by opening Reports, then Health tabs, and then opening the PPFS Students Without
Exams, then the 3-Year Physical Report.
(Be sure to date your query to span three (3) years when calculating the list of students that have not received a physical in three years.) You may serve current migrant students not on these lists but only if you have provided services to all your allotted number of students.
If you determine that one of your eligible students does not meet criteria for a physical examination and deny that student services, you will be required to demonstrate the criteria utilized to make that determination during the program review process. In order to ensure that we are not supplanting services, we will be requiring the Parent Interview Forms
(under the MEHP website/Training Tab or distributed during exam trainings) to be completed and submitted to providers two weeks prior to exams.
We need to know if the student has a medical/dental home other than the contracted provider.
Please provide the following information for migrant students needing physical examinations in your district for the 2012-13 school year. List preferred dates, times, and locations in the spaces provided on the survey form. A provider team of two can complete approximately 25 exams per day from 9:00 a.m
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– 2:00 p.m. You may schedule as many clinics as needed any time throughout the year as required to meet your needs.
When selecting examination dates, you will need to plan around district wide testing , holidays, vacations, assemblies, field trips, AM/PM kindergarten classes, inservice days etc. Thursdays are never scheduled because Tuberculin Skin Tests (PPDs) need to be read within 48-72 hours. If your provider is Columbia Basin Health, please select a Tuesday.
Include any information concerning special considerations your project may have in regards to location of examinations, times, etc. It is easier to cancel an examination date than add one later. Priority will be given in the order in which surveys are returned.
Please designate a contact person for health services.
Name (Print) Position (Print)
School District (Print) Telephone/FAX
Email
Street Address (do not use PO Box; physical addresses are needed for location of exam sites)
Please return this form using email, fax, or mail by to: Friday, June 1, 2012
Mike Taylor, Migrant Health State Supervisor
North Central ESD
PO Box 2424
Chelan, WA 98816
(509) 682-0373/FAX 682-3407
Email: rosemarieh@ncesd.org
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