• Nurse's Corner: 16-17 Requirements

    Posted: Jul 20, 2016

    Wapsie Valley Parents,

    Please refer to your child’s grade level below to find out the requirements for the 2016-2017 school year:

    Preschool (WV PRESCHOOL REQUIREMENTS)

    • Birth Certificate: Please submit for verification of age.
    • Immunization Record
    • Physical: Must be completed by a physician. (Form is below or can be supplied by physician’s office.)

    WV ELEMENTARY PHYSICAL FORM

    Kindergarten (WV KINDERGARTEN REQUIREMENTS)

    • Birth Certificate: Please submit for verification of age. If it was already given for WV Preschool enrollment, it is not necessary to be provided again.
    • Immunization Record
    • Physical: Must be completed by a physician. LEAD LEVEL NEEDS TO BE DRAWN AT THIS APPOINTMENT AND GIVEN TO THE SCHOOL. (Form is below or can be supplied by physician’s office.)

    WV ELEMENTARY PHYSICAL FORM

    • Certificate of Vision Screening: Iowa law requires that all Kindergarteners have a minimum of one vision screening done no earlier than one year prior to enrollment and no later than six months after the date of enrollment. ALL STUDENTS THAT ATTENDED WAPSIE VALLEY PRESCHOOL THAT HAD THEIR VISION TESTED THROUGH THE LIONS CLUB DO MEET THIS REQUIREMENT.

    CERTIFICATE OF VISION SCREENING FORM

    • Certificate of Dental Screening: Iowa law now requires that any child who is entering Kindergarten, or is an out-of-state transfer student, must provide the school with proof of a dental check-up.

    CERTIFICATE OF DENTAL SCREENING FORM

    3rd Grade (3RD GRADE REQUIREMENTS)

    • Certificate of Vision Screening: Iowa law requires that all 3rd graders have a minimum of one vision screening done no earlier than one year prior to enrollment and no later than six months after the date of enrollment.

    CERTIFICATE OF VISION SCREENING FORM

    7th Grade (7TH GRADE REQUIREMENTS)

    • Immunizations: All students enrolling in 7th grade need to have an updated Tdap vaccine. This will require a one-time booster dose of tetanus, diphtheria, and acellular pertussis-containing vaccine PRIOR to starting the 7th grade.
    • Concussion Form: This is a requirement for ALL students. This form needs to be signed by the parent or guardian and student.

    CONCUSSION FORM

    7TH Grade Student Athletes

    • Physical or Athletic Pre-Participation Physical Examination: This form needs to be filled out by the student’s primary care doctor if planning to participate in extracurricular activities PRIOR to participation. (Tdap can be done at time of athletic physical.)

    JR./SR. HIGH SCHOOL PHYSICAL OR ATHLETIC PRE-PARTICIPATION PHYSICAL EXAMINATION FORM

    • Health and Injury Information Card and Consent for Medical Treatment Form: This form needs to be filled out and signed by the parent or guardian of the student athlete.

    HEALTH AND INJURY INFORMATION CARD AND CONSENT FOR MEDICAL TREATMENT FORM

    9TH Grade (9TH GRADE REQUIREMENTS)

    • Certificate of Dental Screening: Iowa law now requires that any child who is entering 9th Grade, or is an out-of-state transfer student, must provide the school with proof of a dental check-up.

    CERTIFICATE OF DENTAL SCREENING FORM

    • Concussion Form: This is a requirement for ALL students. This form needs to be signed by the parent or guardian and student.

    CONCUSSION FORM

    • Physical or Athletic Pre-Participation Physical Examination: This is a requirement for all incoming 9th graders. This form needs to be filled out by the student’s primary care doctor. Please turn in to the school nurse.

    JR./SR. HIGH SCHOOL PHYSICAL OR ATHLETIC PRE-PARTICIPATION PHYSICAL EXAMINATION FORM

    • Immunization Record: If the student’s immunization record has been updated, this record also needs to be submitted to the school.

    9TH Grade Student Athletes

    • Health and Injury Information Card and Consent for Medical Treatment Form: This form needs to be filled out and signed by the parent or guardian of the student athlete.

    HEALTH AND INJURY INFORMATION CARD AND CONSENT FOR MEDICAL TREATMENT FORM

    8th, 10th, 11th and 12th Grade <WV 8th 10th 11th 12th Grade Requirements>

    • Concussion Form: This is a requirement for ALL students. This form needs to be signed by the parent or guardian and student.

    CONCUSSION FORM

    8th, 10th, 11th and 12th Grade Student Athletes
    • Physical or Athletic Pre-Participation Physical Examination: This form needs to be filled out by the student’s primary care doctor if planning to participate in extracurricular activities PRIOR to participation.
    JR./SR. HIGH SCHOOL PHYSICAL OR ATHLETIC PRE-PARTICIPATION PHYSICAL EXAMINATION FORM
    • Health and Injury Information Card and Consent for Medical Treatment Form: This form needs to be filled out and signed by the parent or guardian of the student athlete.

    HEALTH AND INJURY INFORMATION CARD AND CONSENT FOR MEDICAL TREATMENT FORM