Crown Point Christian School

Medical Requirements 2012-2013

Incoming Grade Level

Required Medical Form(s)

ALL Students

Overview of ISDH 2012-13 Immunization Requirements

ALL PreKindergarten

Pre-School Entry Form

ALL Kindergarten

Student Vision Screening Report Form

Physical Examination For School Enrollment Form (Medical History, Immunization History and Physician’s Examination)

ALL Second Grade

Required Varivax Immunization for 2nd Grade

ALL NEW Students
(excluding PreKindergarten)

Note: If you are a new student entering 7th or 8th grade please see box below for additional form required.

ALL NEW Students Entering 7th & 8th Grade

Student Vision Screening Report Form

Physical Examination For School Enrollment Form (Medical History, Immunization History and Physician’s Exam.)
Rule change 410 1AC 1-1-1 Immunization Form

ALL 6th Grade Students

Rule change 410 1AC 1-1-1 Immunization Form

ALL 6th Grade Female Students

Note: This vaccine is not mandatory and a name is not required on the form.

IC 20-34-4-3 HPV Form

Please read HPV What You Need To Know

ALL students that require medication to be administered during the school day

Medication Release Form

ALL CPCS Athletics (6th-8th Students Participating in Athletics)

Parental Permission Form
Permission for Medical Treatment Form
Participant Form
Athletics Physical Form

Lake County Health Department Information