SKYLINE SCHOOLS

Your child must have the following documentation on file prior to the first day of school for the 2023-2024 school year.

_______School Physical - A thorough physical examination is required by Skyline School policy for all new students entering this school system. This physical can be performed by your Primary Care Provider or at the Health Department.

_______Immunizations – See Below

______ DTap/DT (diphtheria, tetanus, pertussis)  ______ Tdap (tetanus, diphtheria, pertussis)               

______ IPV (polio)   ______ MMR (measles, mumps, rubella)    

______ Varicella (chickenpox) ______ Hepatitis A                                                                           

______ Hepatitis B ______ Hib (haemophilus influenza type A)

______ Prevnar (Pneumococcal conjugate) ______ Meningococcal (meningitis)

Please note that we require a copy of the immunization record completed by the person administering the vaccinations. 

Medical Exemption: If your child has had chicken pox, a medical exemption letter from their physician indicating the month and year that it occurred is required every year. If you cannot obtain physician documentation of chicken pox, then the student must receive the chickenpox vaccination or have a varicella titer drawn (blood test) and returned to the school.

Religious Exemption: If your child is not immunized due to religious beliefs, you must submit a letter signed and dated by the parent stating that student has a religious exemption

_______Birth Certificate – State regulations state that a certified copy of the birth certificate must be presented to the school within 30 days after enrollment.  If proof of identity is not presented to the school within 30 days, the school may contact the local authorities.

If applicable you will need to print and fill out the following forms as well (They can be found by hovering over the Nurse’s Corner Tab)

_______Asthma- Health Intake Form

_______Food Allergy & Anaphylaxis Emergency Care Plan

_______Medical Statement to Request Meal Modification

_______Bee Sting/Insect Allergy Plan

_______Self- Administer Meds

_______Prescription Meds

_______Non-Prescription Meds

Sincerely, 

Marie Hayes LPN  

Skyline District Nurse