State law (Ref. Code of Virginia § 22.1-270) requires that your child is immunized and receives a comprehensive physical examination before entering public kindergarten or elementary school. The parent or guardian completes this page (Part I) of the form. The Medical Provider completes Part II and Part III of the form. This form must be completed no longer than one year before your child’s entry into school. Please click on the link below to print and fill out the required form.
Commonwealth of Virginia School Entrance Health Form
A second form needs to be completed if a school employee will be administering medications: