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Commonwealth of Virginia School Entrance Health Form (required for enrollment)
Version: Combined English/Spanish
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.
2020 NEW MCH213G_Spanish_School_Entrance_FormCombined.pdf 623.6 KB (Last Modified on March 26, 2021) -
Commonwealth of Virginia School Entrance Health Form (required for enrollment)
Version: Fillable form
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Stafford County Public Schools Health Information Form (required for enrollment)
Student health information form filled out by parent to provide information to the school health nurse.
School_Entrance_Health_Information_CHP2-F3 - PDF Fillable.pdf 24.7 KB (Last Modified on January 23, 2019) -
TB Risk Assessment Form (required for enrollment)
Form to be completed by parent/guardian. Student may require TB skin test based upon answers to questions.
TB_Risk_Assessment_for_students__2015_-_PDF_Fillable.pdf 194.45 KB (Last Modified on March 26, 2021)