Student Forms Checklist

In order to comply with NH Law and to provide you with quality health and wellness services while your child attends St. Paul's School, all health-related forms must be completed prior to your child's arrival at St. Paul's School. Please use the checklist provided to help you organize what forms are required. All forms are due by June 15.

Online Forms (All Students)

To be completed online through the Parent Portal.

  • Health Record
  • Current Medications
  • Informed Consent and Insurance Information
  • Other Consents

Offline Forms

All Students

  • Physical Examination and Immunization Record click here to download
    To be completed by medical provider
    If physical is scheduled after the form due date, please include date on the Health Record form

Applicable At-Risk Students

  1. Please review the following Vaccine Information Statements (VIS)

    Vaccine Information Statements (VISs) are information sheets produced by the Centers for Disease Control and Prevention (CDC) that explain to vaccine recipients, their parents, or their legal representatives both the benefits and risks of a vaccine.

    1. * Hepatitis A
    2. * Hepatitis B
    3. * Inactivated Influenza (Flu) Vaccine
    4. * Meningococcal
    5. * Diphtheria Tetanus and Pertussis
    6. * HPV (Human Papillomavirus)
  2. Other
    Provide written reports from medical/psychological providers:

    May include: psychological testing or reports to support a diagnosis of ADHD; reports relating to extended time testing or educational accommodations; or, medical reports following a serious injury/illness with recommendations for follow-up care while attending St. Paul's School.

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