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GMSD Health Screening Request
Request a Health Screening for your GMSD student for one of the following services:
1. Vision
2. Hearing
3. Blood Pressure
4. BMI
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* Indicates required question
Email
*
Your email
What is your name?
*
Your answer
What is your child's name?
*
Your answer
Select the building your student attends
*
Forest Hill
Farmington
Dogwood
Riverdale K-8
Houston MS
Houston HS
Select your student's grade level
*
Pre-K
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
Freshman
Sophmore
Junior
Senior
Select the screenings that you want your child to receive
*
Vision Screening
Hearing Screening
Blood Pressure
BMI
Required
Provide any additional information you feel is needed based on the request for your child receiving a health screening.
*
Your answer
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