Health Requirements and Forms

Requirements for NEW STUDENTS, KINDERGARTENERS, and 6TH GRADERS

All NEW students of any age

Current and Up-to-Date Immunization Record

Physical Exam within the last year

Student Health Survey (only required once)

Students entering Kindergarten K5 vaccines and Physical

Students entering 6th grade     6th grade vaccines and Physical

Physical Forms

Pre-K to 5th: Universal Child Health Record

6th to 12th: Pre-Participation Physical Forms

History English or Spanish

Exam

Medical Eligibility

Special Health Care Plans (new plan due every September)

Allergy Action Plan (for severe or life-threatening allergies)

Asthma Treatment Plan

Seizure Action Plan

Diabetes Medical Management Plan

In-School Medication Consent

(only for medications OTHER THAN for asthma/allergies)

Seasonal Allergy Survey

(only needed if your child has seasonal allergies)

Food Allergy Assessment

(If your child has a food allergy: parent completes)

Food Intolerance Assessment

(If your child has a food intolerance: parent completes)