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Health Office Hours and Staff Immunization Requirements New Students State Requirements Pennsylvania Health Screening Program Medication Administration Health Fact Sheets Health Information Links Health News MRSA

New Students Requirements

School Physical and Dental Exams are provided free of charge.

Grades
K-12
1. Certificate of immunization. Card must be completed & signed by physician or copy of Immunization record must be submitted prior to entry into school.
2. Emergency Contact Information (Form 426-A)
3. Health History (Form 415-A

In Addition

Grade 1  1. Private Physical Form (Form 435-A) or schedule School Exam
2. Private Dental Exam Form (Form 412) or schedule School Exam 
 
Grade 2 1.Copy of most recent Physical and Dental Exams or schedule School Exams
 
Grade 3  1. Private Dental Exam (Form 412-A) or schedule School Exam
2. Copy of most recent Physical Exam or schedule School Exam
 
Grade 4 1. Copy of most recent Physical and Dental exams or schedule School Exams
 
Grade 5  1. Private Dental Exam Form (Form 412) or schedule School Exam 
2.  Copy of most recent Physical Exam or schedule School Exam
 
Grade 6 1. Private Physical Form (Form 435-A) or schedule School Exam
2. Copy of most recent Dental Exam or schedule School Exam
 
Grade 7          1.  Private Dental Exam Form (Form 412) or schedule School Exam 
                   2.   Copy of most recent Physical Exam or schedule School Exam
 
Grades 8 ,9,10 1.  Copy of most recent Physical Exam or schedule School Exam
 
Grade 11  1. Private Physical Form (Form 435-A) or schedule School Exam.  Sport physical exam accepted for this requirement.
 
Grade 12  1. Copy of most recent Physical Exam or schedule School Exam











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