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Health and Medical

General Health Information

Physicals/Health Questionnaire:  All students new to our school are required to have a recent physical signed by their physician along with the “Health Questionnaire” form filled out by the parents/guardians.  These forms must be submitted to the school office no later than the first day of school. 


CHIRP:  As required by IC 20-34-4-6, we report immunizations to the State Department of Health each year on all students in grades K, 1 and 6.  This report is currently done online through CHIRP (Children and Hoosier Immunization Registry Program) and we will need a consent signed for each child in order to report this information to the state.  This form needs to be submitted to the school office no later than the first day of school.  


Immunizations:  IC 20-34-4-2 requires that ALL students have the required immunizations PRIOR to, and on file with, the school before the first day of school.  These immunizations need to be given according to the ACIP (Advisory Committee on Immunization Practices) and the Indiana State Department of Health, this includes proper intervals between each required dose. 

The only exception to this rule is a signed “Medical Exemption” form filled out by your child’s physician (IC 20-34-3-3), or a “Religious Objection” form signed by the parents/legal guardians (IC 20-34-3-2) stating that it is against your family’s religious beliefs.  Please contact the nurse if you need either of these forms.

Unfortunately, if this is not completed by the first day of school, you will receive a letter excluding your child from school until the immunizations have been obtained and proper paperwork has been filed.


When your child is ill Children with fever, diarrhea, vomiting or other symptoms of illness should stay at home, and, if indicated, be evaluated by the doctor for diagnosis and appropriate treatment.  Any fever of 99.9 degrees or above means that your child must stay home for at least 24 hours (free of fever and without the use of acetaminophen or ibuprofen).  This means that if your child was sent home from school the day before with a fever, they need to wait at least 24 hours before they will be admitted back to school.


Medications:  We will only administer FDA approved over–the–counter (OTC) and prescription medications prescribed to your child (this does not include any herbal medications).  These medications need to be brought to school by an adult in their original package and accompanied by the medication consent form found on our website or in the school office.  Medication brought in to school will only be available during school hours.  Our school policies are in accordance with IC 20-34-3-18.  All medication will be kept in a locked cabinet with the nurse, or trained staff member dispensing according to the package instructions.  Students are not to have medication with them at any time.  The only exception to this is if your child needs emergency medication (ex. insulin, an inhaler or an epinephrine injection) and the proper paperwork is filled out and on file with the school.  (Forms may be found in the school office)  If needed, this form requires a signature from your child’s physician and is only for their EMERGENCY medication.  These policies are in place to keep your child and others in the building as safe as they can be during the school day.  A reminder that all cough drops are considered OTC medication and need to be kept in the school office for your child’s use.  Please read our full medication policy on the reverse side of the “Medication Consent” form.


Please understand that NO medication can be sent home with your child.






(rev ACNPSA  1/18)



Indiana State Law requires students entering four-year-old preschool to have 4 DPTs, 3 Polio, 1 MMR, 1 Varicella, and 3 Hepatitis B vaccinations before the first day of school.  

Indiana State Law requires that all students entering Kindergarten be fully immunized against Diphtheria, Tetanus, and Pertussis (Tdap 5 doses), Polio (4 doses), Hepatitis B (3 doses), and Measles (2 doses), Mumps (2 doses), Rubella (1 doses), Hepatitis A (2 doses) and Chicken Pox (2 doses) OR documentation of history of having had the chicken pox disease (month and year) with a physician's signature.  Hepatitis A (2 doses) required for students entering Kindergarten and 4th grade.

Students entering grades 6-12 are also required by law to have a Meningitis vaccine, Tdap vaccine, and two Hepatitis A vaccinations.

All immunizations must be noted with Day-Month-Year received.

Additional information about:

Health Forms: 

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