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Preschool

• Physical form completed by doctor’s office.
• Updated immunization record (or medical/religious exemption form).

Junior Kindergarten/Kindergarten

• Physical form completed by doctor’s office.
• Updated immunization record (or medical/religious exemption form).
• Vision form - may be completed by an eye doctor, medical doctor, nurse practitioner, or physician assistant. Screenings are considered valid if done no earlier than 1 year before and no later than 6 months after school starts.
• Dental form (or exemption form) - screening may be performed by a licensed dentist, dental hygienist, nurse, nurse practitioner, or physician assistant. Screening is considered valid from age 3 years to 4 months after the start of school.
• If your student attended Junior Kindergarten during the previous school year and turned in the required forms, no additional forms are needed.

3rd Grade

• Vision form - may be completed by an eye doctor, medical doctor, nurse practitioner, or physician assistant. Screenings are considered valid if done no earlier than 1 year before and no later than 6 months after school starts.

7th Grade

• Updated immunization record (or medical/religious exemption form) with proof of having had a Tdap and Meningococcal (meningitis) vaccine.

9th Grade

• Dental form (or exemption form) - screening MUST be performed by a licensed dentist or licensed dental hygienist. Screening is considered valid if done no earlier than 1 year before and no later than 4 months after school starts.

12th Grade

• Updated immunization record (or medical/religious exemption form) with proof of having had the Meningococcal (meningitis) vaccine. 2 doses of meningitis vaccine are required for students, if born after September 15, 1999; or 1 dose if received when student was 16 years of age or older.

Infant, Toddler, Preschool Age Child Health Form

School-Age Child Health Form

MV Physical Activity Contract  |  2024-2025

MV Yearly Health Form  |  2024-2025

Immunization Law & You Brochure

Immunization Requirements

Certificate of Immunization

Pre-Teen Vaccines Information

Pre-Teen Vaccines Questions & Answers

Medical Exemption

Religious Exemption

All medication must be in the prescription container that has been filled by a pharmacist. It maybe necessary to obtain an extra container from the pharmacist, since only the amount needed is to be sent to school. The parent or guardian must sign a permission form to have the prescribed medication dispensed to their child according to the specific written directions of the prescribing health provider. All medication will be dispensed by the nurse or authorized office personnel who have met the qualifications by taking the medication administration course as stated in chapter 204 of the Code of Iowa.

All medication will be maintained in a secure location and appropriately identified for each child.

All medication permission slips will be filed in the student's health file in the nurse's office.

Any medication that has not been taken or picked up at the end of the year will be destroyed.

It is strongly encouraged that parents bring their children's medicine to school and not have the children carry it.

Administering Medication to Students

Authorization of Self-Administration

OTC Parental Order Form

Anaphylaxis Emergency Action Plan

Asthma Action Plan

Authorization to Obtain or Release Health Care Information

Dental Screening Certificate

Dental Screening Exemption

Diabetes Medical Management Plan

Diet Modification Request Form

Food Allergy Action Plan

Migraine Action Plan

Seizure Action Plan

Vision Screening Certificate

Common Child Illnesses and Exclusion

Healthy Snack/Reward List

Conjunctivitis (Pink Eye)

Head Lice Brochure

Head Lice Fact Sheet

Head Lice Treatment

MRSA Fact Sheet

Mononucleosis (Mono) Fact Sheet

Pertussis (Whooping Cough) Fact Sheet

Scabies Fact Sheet

Strep Fact Sheet

Strep Throat vs. Sore Throat

Viral Meningitis Fact Sheet