Student Health Services » Required Forms & Resources

Required Forms & Resources

School Required Forms
  • Medication Request Form:  Students required be administered medication at school must have this form completed by a physician and on file in the school office.
  • Physical Exam for School Entry: students must have a completed health assessment 18 months before or up to 90 days after enrolling in first grade
  • Oral Health Assessment Form: students must have a dental check-up by May 31 of his/her first year in public school. A California licensed dental professional operating within his scope of practice must perform the check-up and fill out Section 2 of this form.
  • Physician Release to Return to School Form: this form must be completed for
    • A student returns to school with cast, crutches, wheelchair or orthopedic appliances
    • A students after surgical procedure, overnight hospitalization or a serious illness requiring 5 or more days of illness
    • A student is to be excused from physical education/playground activities for more than 3 days in a row
  • TB Risk Assessment: this form must be completed if volunteering on campus, please go to your local health care provider to have this completed.