These forms may also be found in the Health Services Reference Guide (HSRG). 

The following are the most requested school health forms.

Kentucky School Eye Exam Form

School Eye Exam Form

Immunization Certificate

KY Immunization Certificate

Immunizations Medical Exemption Certificate

Medical Exemption Certificate

Immunizations Religious Exemption Certificate

Religious Exemption Certificate

Student Exam Form: PreK-Grade 4

Preventative Health Care Exam K-4

Student Exam Form: 6-12

Preventative Health Care Exam 6-12

Sports Physical Form

Sports Physical Form

Pupils Cumulative Health Record

Pupils Cumulative Health Record

School Employee Exam Form

School Employee Exam Form

 

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