Medical Requirements

Below are the medical requirements for the 2017-2018 school year.

Incoming Grade Level
Medical Form(s)
All StudentsOverview of ISDH Immunization Requirements 2017-2018
All Pre-KindergartenPre-Kindergarten Entry Form 2017-2018
All KindergartenPhysical Examination 2017-2018
Vision Screening Report 2017-2018
All NEW Students (excluding Pre-K)
Physical Examination 2017-2018
Vision Screening Report 2017-2018
All NEW Students entering 7th & 8th GradeRule 410 1AC 1-1-1 Form 2017-2018
All 6th Grade StudentsRule 410 1AC 1-1-1 Form 2017-2018
6th Grade Students HPV Information 2017-2018
All 6th-8th Grade Students6th-8th Grade Students Neisseria Meningitidis Parent Letter 2017-2018
All students that have a medical or religious exclusion for vaccineNo Vaccine Due To Health Reason 2017-2018
No Vaccine Due To Religious Reason 2017-2018
No Vaccine Due To Medical Reason 2017-2018
No Vaccine Due To Any Reason 2017-2018
All students that require medication to be administered during the school dayMedication Release Form
All CPCS Athletics (6th-8th grade students participating in athletics)
It is mandatory that A, B, C & D forms are submitted prior to tryouts.
Athletics Parental Permission Form A
Athletics Permission for Treatment Form B
Athletics Participant Form C
Athletics Physical Form D
Additional InformationLice Awareness
Concussion Info

Questions regarding immunizations should be directed to your personal healthcare provider or:
Lake County Health Department Immunization Clinic
2900 W. 93rd Avenue
Crown Point, IN 46307
(across from Lake County Government Center)
219.755.3658

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