[Intranet]
Updated: April 11, 2002
The following health information is required for original entry into kindergarten or first grade. Additional information is required and can be obtained form the school office.
Health History Form Immunizations 4 DTP (Diphtheria and Tetanus) 3 Trivalent Oral Polio 2 MMR (measles, mumps and Rubella) 3 Hepatitis B Physical Examination Report
Health History Form
Immunizations
4 DTP (Diphtheria and Tetanus)
3 Trivalent Oral Polio
2 MMR (measles, mumps and Rubella)
3 Hepatitis B
Physical Examination Report
Other Information which needs to be returned:
Private Dental Report Medication Permission/Refusal Form
Private Dental Report
Medication Permission/Refusal Form
Revised: June 30, 2008
URL: http://www.mcsdk12.org/nurse/
Copyright © 2002-07 MCSD. All rights reserved. Comments to the webmaster may be directed to: webmaster Mifflin County School District, 201 Eighth Street - Highland Park, Lewistown, PA 17044