Health History and Appraisal (A-45)

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    Health History and Appraisal (A-45) form was revised in June 2012 to accommodate school districts that have chosen to measure students' Body Mass Index (BMI).  Since recording BMI is optional, districts may continue to use their current supply of A-45 forms created prior to this revision.  When this supply is depleted, printed hard copies of the revised A-45  may be obtained from the County Office, when available, or they may be downloaded as a PDF from this site.  It is at the discretion of the school district to enter BMI on the new form or leave it blank.