VA School Entrance Health Form


State law (Ref. Code of Virginia § 22.1-270) requires that your child is immunized and receives a comprehensive physical examination before entering public/private school.

The parent or guardian completes this page (Part I) of the form.The Medical Provider completes Part II and Part III of them form. This form must be completed no longer than one year before your child’s entry into school.

Please click below to access a printable version of the Commonwealth of Virginia School Entrance Health Form.