Crown Point Christian School

Medical Requirements 2011-2012

Incoming Grade Level

Required Medical Form(s)

ALL Students

Overview of ISDH 2011-12 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 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