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State Requirements

School physical and dental exams are provided free of charge.

Grade K

1. Certificate of Immunization Card, must be completed & signed by physician or copy of Immunization Record must be submitted.
2. Emergency contact Information Form 426-A
3. Health History Form 415-A

 
Grade 1

1. Physical Exam Form 435-A or schedule school exam
2. Dental Exam Form 412 or schedule school exam
3. Emergency Contact Information Form 426-A

 
Grade 2 

1. Emergency Contact Information Form 426-A 

 
Grade 3 

1. Dental Exam Form 412 or schedule school exam
2. Emergency Contact Information
Form 426-A

 
Grades 4 & 5     

1. Emergency Contact Information Form 426-A  

 
Grades 6

1. Physical Exam Form 435-A or schedule school exam
2. Scoliosis Screening (indicated on Physical Exam Form 435-A) 
3. Emergency Contact Information Form 426-A 

 
Grade 7

1. Scoliosis Screening Form 421 or schedule school exam
2. Dental Exam Form 412 or schedule school exam
3. Emergency Contact Information Form 426-A 

 
Grades 8,9, 10 

1. Emergency Contact Information Form 426-A  

 
Grade 11

1. Physical Exam Form 435-A or schedule school exam (Sports Physical accepted for state requirement)
2. Emergency Contact Information
Form 426-A 
 

 
Grade 12

1. Emergency Contact Information Form 426-A 

 
New Students

1. Certificate of Immunization Card, must be completed & signed by physician or copy of Immunization Record must be submitted.
2. Health History Form 415-A
3. Emergency Contact Information Form 426-A
4. Must submit a copy of current and previous school health records


Emergency Contact Information: Only those persons indicated on the emergency card are permitted to make arrangements for your child's release from school. Updated information is requested yearly and as necessary during the school year. Form 426-A

Health History: This information is kept confidential and shared with appropriate school and medical personnel as deemed medically necessary. Form 415-A
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