Employee Health Services
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Certificated Applicant Medical Clearance Forms Packet
Form 8459 Certificate of Medical Examination Cover Sheet
Form 8457 Certificate of Medical Examination (has two pages)
TB Risk Assessment Questionnaire (for information only)
Form 8478 TB Certificate of CompletionCertificated_Applicant_Medical_Clearance_Forms_Packet rev May 2017.pdf 601.31 KB (Last Modified on May 12, 2017) -
Tuberculosis Compliance Forms
Form 8478 TB Certificate of Completion
TB Risk Assessment Questionnaire (for information only)
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SB 792 Immunization Clearance Form
HR Form 8426
All employees working with preschool-aged children (Early Education Centers and/or Early Childhood Special Education classrooms) must complete this form.