Exam & Immunization Forms

• Health Questionnaire
• Physical/Dental Exam Form (physicals from last 12 months)
• CHIRP Release Form
• Current Immunization Records (link lists requirements & ages). Your child may not receive immunizations every year at their checkup. If they do, we need an updated record, please. Typically your child's doctor can fax these to the school at 574-233-7290. Please be sure that the dates for each immunization are on the record.

For children who need to take medication at school

• Medication Consent Form (Physician completes)
• Medication Consent Form (Parent completes)

For children with allergies & asthma

• Bee Sting & Allergic Reactions Form
• Inhaler Consent
• Epi Pen Consent
• Nebulizer Consent

For children who are unable to be immunized

• Objection to Immunization Form