A new preschooler, kindergarten student, or first through fifth grader entering a public school for the first time must furnish a physical examination / School Health Entrance Form (MCH 213) performed NO EARLIER than twelve months prior to the date of attending school. This physical exam is to include all components as stated on the MCH 213. A signed Certificate of Immunization (part 2 of MCH 213) must be present PRIOR to entry.

Student health information form filled out by parent to provide information to the school health nurse. 

Form to be completed by parent/guardian. Student may require TB skin test based upon answers to questions. 

This form is required to be signed by the prescribing doctor and the parent to give permission for medication to be given during the school day. Medication may not be administered to the student without written permission. Medication and forms must be brought in and signed in by the parent/guardian with the nurse. PLEASE DO NOT SEND IN MEDICATION WITH YOUR STUDENT TO GIVE TO THE NURSE.

Form for treatment of severe allergies filled out and signed by doctor and parent. If your student has a SEVERE allergy that requires emergency medication, please submit this form and medication to the school health nurse. PLEASE DO NOT SEND IN MEDICATION WITH YOUR STUDENT, PARENT/GUARDIAN MUST BRING IN FORM AND MEDICATION TO THE SCHOOL HEALTH NURSE.