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FORMS - Student Health

Immunization & Health Requirements for School Entry

Kindergarten (at least 5 years of age)

IMMUNIZATION AND HEALTH REQUIREMENTS - K

SPANISH - Immunization and Health Requirements - K

6th Grade

IMMUNIZATION AND HEALTH REQUIREMENTS - GRADE 6

SPANISH - Immunization and Health Requirements - Grade 6

Parent or Guardian’s Declination on Religious Grounds to Required Immunizations

Religious Exemption Form

Health Screening Programs

School Physical Form

KDESHS002-Preventative Health Care Examination Form

Vision | Hearing

Kentucky Eye Examination Form for School Entry (KDESHS004)

OCBE Hearing and Vision Screening Program Parent/Guardian Consent Response Form

Dental

Kentucky Dental Screening/Examination Form for School Entry (KDESHS005)

Head Lice (Pediculosis)

Prevention and Control of Head Lice

Medication Administration

Administration of Stock Over the Counter (OTC) Medication

SPANISH - administration of Stock Over the Counter (OTC) Medication

Authorization To Give Prescription or OTC Medication

SPANISH - Authorization To Give Prescription or OTC Medication

Health Care Plans

Allergy Care Plan for Prescribed Epinephrine

Individual Diabetes Health Care Plan

Asthma Action Plan

Seizure Action Plan

G-Tube Feeding Authorization