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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. Please use the checklist below to help you organize what forms are required.

Printable Health Center Registration Requirements Checklist


Online Forms (All Students)

To be completed online through the Parent Portal.

Due March 1, 2021 for returning student; due April 10, 2021 for new students

1. Informed Consent and Insurance Information

Due June 15, 2021 for all students

2. Health Record

  • Information needed: emergency contact information (cannot be a parent), dates of any significant illnesses/surgeries, tuberculosis information, general medical history.

3. Medication Agreement

  • List of all medications (prescription, non-prescription, supplements, & vitamins) your child currently takes including dosage, frequency, and reason.

4. Counseling and Flu Shot Consents

5. Sexual Health Care Consent

6. Immunization Entry

7. Texting Opt-in/Opt-out

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

Printable Health Center Registration Requirements Checklist

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