Student Medical Forms

Please complete the Health Examination for School Entry Form and submit it to your school office or district office.

The First Grade Health Check-Up Form, to be completed by a physician, is mandated by the State of California for entry into first grade. State law requires that a physical must be given within 18 months prior to entry into first grade.

Please complete the Food Allergy Action Plan Form and submit it to your school office or district office. 

If your child has a food allergy or needs special meal accommodations, complete the Food Services Special Meals Accommodation and Food Allergy Form and return it to Lupe Pena, Nutrition Services Consultant at lpena@saratogausd.org.

Please complete the Oral Health Assessment Form and submit it to your school office or the district office. Learn more about Oral Health and School Readiness. 

California State law requires that by May 31 each year, students in kindergarten (or first grade if it is the student's first year in public school) submit proof of an oral health assessment performed by a licensed dentist or other licensed or registered dental health professional. Assessments that have happened within the 12 months before your child enters school will satisfy this requirement. For more information on the Oral Health Assessment, visit the California Department of Education website. Please complete the Kindergarten or First Grade Oral Health Assessment Form and submit it to your school office or district office. 

Please complete the Request for Medication Form and submit it to your school office or district office.

The Tuberculosis School Mandate for Santa Clara County requires that all children entering or transferring into kindergarten get a TB assessment and/or TB skin test within 12 months prior to first school entrance or transfer.  All children entering TK/kindergarten OR transferring to SUSD from outside Santa Clara County should have the TB Risk Assessment Form filled out and signed by the student's physician. Please submit the completed form to your school office or district office.

• Does your child need a medical exemption?
• List of community clinics for vaccinations or pediatric care