Lausd Medical Forms

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Employee Health Services / Forms - Los Angeles Unified …

https://achieve.lausd.net/Page/7676

Certificated Applicant Medical Clearance Forms Packet Form 8459 Certificate of Medical Examination Cover Sheet Form 8457 Certificate of Medical …

District Nursing Services / Forms - Los Angeles Unified …

https://achieve.lausd.net/Page/12609

Immunizations Forms. Medical Exemptions and Exclusions (Not for Immunizations) Medical Waste: Transport Checklist, Tracking Document and Generator Certificate. Medication …

Forms & Procedures - Los Angeles Unified School District

https://www.lausd.net/lausd/offices/student_health/forms_&_procedures.htm

Forms & Procedures Click below or use the buttons on the left to view or print forms. Preparticipation Physical Evaluation Form (English) Preparticipation Physical Evaluation …

Templates and Forms - Los Angeles Unified …

https://my.lausd.net/webcenter/portal/LAUSD/pages_type/templatesandforms

Non-Routine Payment Request Form (Under $5000) Form 9074 Type:TemplatesAndForms Document Name:TemplatesAndForms-052697.0 Non-Routine …

PCSS / School Forms and Resources - Los …

https://achieve.lausd.net/Page/9244

1360 West Temple Street Los Angeles, CA 90026 Phone (213) 481-3350 Fax (213) 482-1498 School Forms & Resources Welcome to the Parent Resources page. …

Division of Risk Management and Insurance Services / …

https://achieve.lausd.net/Page/9857

2023 Health Benefits Enrollment (HB1) Form - Active Employees. 3. Unit F and Unit G Benefits Overview. 4. 2023 Health Benefits Enrollment Form - Half-Time Active …

Medical Benefits | LAUSD - Los Angeles Unified School District

https://lausd.healthnetcalifornia.com/members/medical-benefits.html

Medical Benefits | LAUSD Medical Benefits Enrollment Information How to enroll Plan details Continuity of Care ProviderSearch Tips Contact Us Just for Members Medical …

Retiree Health Benefits - Los Angeles Unified School …

https://www.lausd.net/lausd/offices/personnel/class/retire/benefits.htm

For claim forms, and claims payment information, call your Plan: MEDICAL PLANS. Blue Cross (800) 700-3739 Prescription Drug Services (800) 700-2541 Managed Health …

Board of Education - Los Angeles Unified School District

https://achieve.lausd.net/benefits

1. VSP - Essential Medical Eye Care. Active employees and retirees enrolled in VSP Vision Care have access to supplemental coverage for urgent and medical eye care. Through …

Medical Opt-Out Cash Back Attestation Form - Los …

https://achieve.lausd.net/cms/lib/CA01000043/Centricity/domain/133/benefits%20administration/active/2021%20Medical%20Opt-Out%20Cash%20Back%20Attestation%20Form%20-%20HBA4%20v2.pdf

Visit http://benefits.lausd.net for benefit information and forms Risk Management and Insurance Services, Benefits Administration P.O. Box 513307, Los Angeles, CA 90051 …

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