Medical Forms Due By Grade

Nurse Catherman
A quick-view chart to see what medical forms are due by your child's grade.
Medical Forms Due By Grade
GradeForms Due
PreschoolEMI form (eForm in MyHA); Copy of most recent well-visit and immunization record
Junior KindergartenEMI form (eForm in MyHA); Copy of most recent well-visit and immunization record
KindergartenEMI form (eForm in MyHA); PA Physical Exam Form (Pg 1 filled out and signed by parent, with most recent physical and immunization record attached).
1st GradeEMI form (eForm in MyHA); PA Physical Exam Form (Pg 1 filled out and signed by parent, with most recent physical and immunization record attached).
2nd GradeEMI form (eForm in MyHA)
3rd GradeEMI form (eForm in MyHA); PA Private Dentist Form
4th GradeEMI form (eForm in MyHA)
5th GradeEMI form (eForm in MyHA)
6th GradeEMI form (eForm in MyHA);PA Physical Exam Form (Pg 1 filled out and signed by parent, with most recent physical and immunization record attached).
7th GradeEMI form (eForm in MyHA); PA Private Dentist Form
8th GradeEMI form (eForm in MyHA)
9th GradeEMI form (eForm in MyHA)
10th GradeEMI form (eForm in MyHA)
11th GradeEMI form (eForm in MyHA);PA Physical Exam Form (Pg 1 filled out and signed by parent, with most recent physical and immunization record attached).
12th GradeEMI form (eForm in MyHA)
EMI form - Emergency Medical Information Form (found in MyHA under "Forms to Review"- must be completed by the first day of school anually.
PA Physical Exam Form and PA Private Dentist Report Form Links can be found on the Nurse's Notes Resource Board in MyHA under "Medical Forms" in the left column.

This list does not include other forms such as Asthma & Allergy Action Plans and Medication Permission Forms that may be required for inhalers, EpiPens, and/or other medications that may need to be given during the school day.  Those forms can also be found in MyHA under the Nurse's Notes Resource Board in the left column.
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