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Nurse's Corner

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Wapsie Valley Parents,

Please refer to the forms below to find out the requirements for the 2021-2022 school year:

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.

Physical Form: All student-athletes in Grades 7-12 is required to have a physical.

Heads UP Concussion Form:  All students in Grades 7-12 is required to have a concussion form filled out and signed by the student and the parent or guardian.

Health and Injury Information Card and Consent For Medical Treatment:  Form must be filled out by every student-athlete.

 

 

7th Grade Students:

  • 7th Grade <7TH GRADE REQUIREMENTS and FORMS>
    • 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. All students enrolling in 7th grade will also need proof of one dose of meningococcal (A, C, W, Y) vaccine.
    Concussion Form: This is a requirement for ALL students. This form needs to be signed by the parent or guardian and student.

    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.)

    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.

 

9th Grade Students:

 

8th, 10th, & 11th Grade Students: Grade Requirements and Forms.pdf

12th Grade Students: Grade Requirements and Forms.pdf

  • Immunizations: All students enrolling in 12th grade and born after September 15, 1999, will need proof of two doses of meningococcal (A, C, W, Y) vaccine; or 1 dose if received when the student was 16 years of age or older.

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

  • 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.