• Important Documents for all Parents to Review

  • Illness Attendance Policy
  • Indiana Immunization Requirements by Age
  • Medication Administration Policy

• Medical Forms

  Exam & Immunization Forms

  • Health questionnaire
  • Physical Exam Form (physicals from last 12 months)
  • Dental Exam Form (exam 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