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Back to School Forms

Back to School Forms

Medication Form ​
Special Dietary Needs Medical Form
Student Health Information Sheet
Student Oral Health Form (Dental)

Required Pre K, Kindergarten, 
2nd Grade, 7th Grade and 
12th Grade HealthCheck
and Dental Forms

In an endeavor to make a "best effort" to ensure all students in WV schools have a medical and dental home the Health Promotion and Disease Prevention Policy (WVBE Policy 2423) 
has been set into place.

Pre K, Kindergarten and 2nd Grade are being asked to provide a completed and current Health Check and dental form at the start of the 2016-2017 school year.

Students may bring the forms to school on the first day of school.

State Board Policy 2423- Health Promotion and Disease Prevention, Section 5 requires Health Check screenings and dental exam within a "phase-in" plan from 2015/16 to 2018/19 for the following:

2015/16    Pre K and Kindergarten
2016/17    Grade 2
2017/18    Grade 7
2018/19    Grade 12

HealthCheck forms can be obtained at your physicians office. Dental forms can be obtained from the link under "Back to School Forms."