Required Health Forms
From immunizations to physical examinations, student health is an important school and community preparedness issue. Below are links to required health forms that verify students receive routine health screenings and services; these forms become part of each student's school records.
You will need Adobe Acrobat Reader to open and print these forms. If your personal computer is not already equipped with this free software, the button on the right side of your screen will activate the download and installation processes.
After you have completely filled out each appropriate form, bring it or send it with your child to school. If you should have any questions, please feel free to contact Mrs. Sagehorn at either 654-3317 or 654-3315.
Summary of School Immunization Rules & Regulations
Specific immunizations are associated with specific ages. Please, review regulations carefully. The Three Rivers Health Department (located at 33 W 4th St in Fremont) sponsors an immunization clinic on Mondays from 9 AM to 6 PM; however, you will need to call ahead for an appointment at 402-727-5396 or toll-free 866-727-5396.
Physical Examination Requirements
Physical examinations are required of
- all students with grade placements Kindergarten and 7
- all newly enrolled students from out of state, regardless of grade placement
- all students participating in extracurricular sports practices, each participating year
A School Vision Evaluation is required for all children within six months prior to entering Nebraska schools for the first time.
Parental Request for In-school Medications
Parental consent forms are necessary if students receive medication during the school day; medications must be dispensed according to prescribed dosages by the school nurse or an authorized school official.
Documentation of Varicella (Chicken Pox)
