The required health forms shown below are due to CHA by the first day of school, August 16, 2021, for all students entering Grade 2. Please email the forms as attachments to Health Services with a subject line as follows: Health Forms – Last Name, First Name (for example: Health Forms – Doe, Susie)


◘ Dental Exam Form
  • Dental exam forms dated after November 15, 2020, will be accepted. If exam is not in student’s file by 5/15/22, he/she will be excluded from school.
  • Have your dentist sign and date the form.

Find links to all forms on the main Health Services page. You may wish to print this page out so you know which forms are needed for your student.

Special Medical Conditions and Other Health Forms

If your student has a special medical condition that we should be aware of, and/or would like them to be able to receive prescription or over-the counter medication as needed, authorization forms are required. Information on the following health items, and their related forms, are available on the Health Services page via the Special Medical Conditions button:

  • Allergies
  • Emergency action plans
  • Prescription Medication Authorization
  • Over-the-counter (OTC) Medication Authorization (such as Tylenol, Benadryl, etc.)
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