Nurses’ Office: Forms

Forms + Checklist

Child and Adolescent Health Examination Form
This form is to be completed by your medical practitioner is required for entry to school. Please read below:

  • All new students
  • All preschool and kindergarten students
  • All returning 1st, 6th and 9th grade students
  • All 7th through 12th grade students who plan to play sports

Interval Health History Form
This form is required for all students in grades 7 through 12 who wish to participate in team sports. If the student has had a physical exam WITHIN 30 days prior to the start of the season, they do not need an Interval Form.

↓ Download PDFs