Required Forms for School Admittance:

• KHSAA Sports Physical Participation form: KHSAA sports physical form

• School Physical Form: School Physical Form

• Dental Examination Form: Dental Exam Form

• Vision Examination Form: Vision Exam Form

• Blank Immunization Certificate: Blank Immunization Certificate

• Medical/Religious Exemption Form: Immunization Exemption Form

Requirements to Begin Kindergarten

• Up to Date Immunization Certificate

• School Physical (must be within 1 calendar year)

• Vision Exam (due by January 1)

• Dental Exam (due by January 1)

Requirements to Begin 6th Grade

• Up to date Immunization Certificate (tdap and meningococcal vaccines due)

• School Physical (must be within 1 calendar year)

All 16 year Old Students

• Meningococcal vaccine series

Healthpoint School Based Health Center

Open Monday and Thursday 8:00-3:00 for

Well child visits, vaccinations, sick visits, sports physicals, vision screenings, and much more

Call nurse Tara to schedule an appointment

School Based Health Center Medical and Dental Forms:

SBHC Form-English

SBHC Form-Spanish