Medical Forms for 6th Grade

Current Fifth Grade Parents:

Your student will need to have the following completed for 6th grade:

1.) Completed physical examination – completed from an exam after August 24, 2019

  •  Updated immunization record with t-dap and meningococcal immunizations
  • Health History portion (top of second page) to be completed by a parent

2.) School Dental Examination Form – completed from any exam after November 15, 2019

The forms should be returned to middle school nurse on the back to school day in August or on the first day of school.  Questions can be directed to Mary Youngman, CHMS Nurse (