Skip To Main Content

Student Medical Forms

Student Medical Forms and Health Information

Health Examination for School Entry Form 2023-24

First Grade Health Check-Up Form 2022-23

The completed form should be sent to your school office or district office.

Food Allergy Action Plan

Completed form should be sent to your school office or district office.

Food Services Special Meals Accommodation and Food Allergy Form

If your child has a food allergy or needs special meal accommodations, complete this form and return it to Richard Andrews, Director of Nutrition Services at randrews@saratogausd.org.

Oral Health Assessment

The completed form should be sent to your school office or district office. Learn more about Oral Health and School Readiness

Request for Medication Form

Completed form should be sent to your school office or district office.

TB Risk Assessment Form

The completed form should be sent to your school office or district office.

Medical Exemption Information

Community Clinics for Vaccinations or Pediatric Care

Immunization Information and Forms

Required Immunizations for School Entry
 

TB Risk Assessment Form

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 assessment form filled out and signed by the student's physician.

First Grade Health Report Form

This 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.

Kindergarten or First Grade Oral Health Assessment Form

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.

Local Clinics

If you do not yet have a pediatrician or family physician, you may try the following resources: