Health Requirements for Students - School District of Poynette

Health Requirements for Students

Following is a collection of documents and forms that must be completed and submitted for various grade levels and students new to our district. Print and complete the forms relevant to your child and submit them to the school nurse.

Authorization to Administer Medication-Child Care

This form provides authorization to administer medication for the four year old preschool student.

Child Health Report-Child Care Centers

Students in our four-year-old preschool program must submit this report to our school nurse.

Day Care Immunization Record

Four year old preschool students must return this form to our school nurse.

Student Vision & Eye Health Exam Report

Kindergarten students must submit this report detailing their vision and eye health exam.

Physical Exam Report

The Health Care Provider Report of Physical Examination must be submitted for new students of all grade levels.

Health Information Sheet

Students of all ages must submit this form to our district nurse.

Student Immunization Record

This immunization record must be completed for students at any grade level.

Medical Procedure

This form explains special medical procedures to be followed for your child. Complete and submit this form to the school nurse.