Please review the forms below and print those which need to be completed by your child's health care provider.
All Students
Kindergarten Students
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Must have proof of most up to date immunizations
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Santa Clara County Public Health Department TB Risk Assessment for School Entry Form completed by a licensed health professional in the US at the time of registration
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May have Health Exam completed after March 1st of the year student enters Kindergarten, but is not required to be completed until December of child's First Grade year.
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Oral Health Assessment completed by May of Kindergarten Year
First Grade Students
PLEASE NOTE: Immunizations DO NOT need to be complete to register your child. Immunizations must be complete and verified prior to the start of school.
Per SB 277, the law allows parents/guardians of children with medical conditions, to be exempt to vaccinations with a physician's written statement including: the physical condition or medical circumstance of the child, which vaccines are exempted, whether the medical exemption is permanent or temporary, and expiration date of exemption when applicable. Schools maintain an up-to-date list of pupils with exemptions, so they can be excluded quickly if an outbreak occurs. Please contact Health Services at (650) 302-1449 or (650) 302-1448 for further information.