Student Health Forms

School Health Requirements 702 KAR 1:160

Physical Exam	3, 4, or 5	No sooner than 1 year prior to initial entry to school (can accept Headstart or Preschool)
Physical Exam	10, 11 or 12	No sooner than 1 year prior to 6th grade entry
Vision Exam	3, 4, 5 or 6	Initial entry to school (can accept Headstart or Preschool)
Dental Exam/Screening	5 or 6*	Entry to Kindergarten only
Immunizations	Varies	Immunization Certificate for Kindergarten and 6th grade

*Dental exam/screening must be between January 1 and December 31 of year a student enrolls into Kindergarten

Child may be 4 years old at the time of Dental exam/screening, but must be at least 5 by December 31 of the initial enrollment into Kindergarten

Essential Student Health Form Downloads

Student Immunization Certificate

Student Dental Screening Form

Student Eye Examination Form

Student Health Care Examination Form: Grades Pre K-4

Student Health Care Examination Form: Grades 5-12

KHSAA Physical Form: High School

KHSAA Physical Form: Middle School

Student Medication Authorization
Students may take medicine which is brought from home once a completed authorization form from the parent/guardian is on file, provided the conditions required by administrative procedures are met.

Except for medication sent to school by parents, internal medicine, including aspirin, shall not be provided by the school for the purpose of administering to pupils. Antiseptic and appropriate other emergency medications shall be maintained in the first aid kit.
A student may self-carry emergency medications once a completed authorization form from the parent and prescribing health care provider has been submitted and on file.

Permission Form for Prescribed or Over-the-Counter Medication