Forms
Child care providers, private/parochial schools, Head Start programs, local health departments, day or residential camps, or others:
If you choose to utilize the Commonwealth of Virginia School Entrance Health Form MCH 213G, please download and make copies as needed.
Parents enrolling their child in public schools:
Download and print the Commonwealth of Virginia School Entrance Health Form MCH 213G.
Health care providers:
Direct parents/guardians to download and print the Commonwealth of Virginia School Entrance Health Form MCH 213G as needed.
- Instructions
- Commonwealth of Virginia School Entrance Health Online Fillable Form MCH213G
- Commonwealth of Virginia School Entrance Health Form – Arabic, Dari, Chinese, Korean, Pashto, Russian, Spanish , Tagalog, Ukrainian
- (Mancomunidad de Virginia Formulario de Salud Para El Ingreso Escolar)
- Certificate of Religious Exemption
Action Plans and Toolkits
- VDH Guidelines for Healthcare Procedures in Schools
- VDOE School Health Services Website
- CDC Concussion Signs and Symptoms Tool Kit
- Epilepsy Foundation Information
- Epilepsy Seizure Action Plan
- Food Allergy.Org – FARE
- FARE Food and Allergy Emergency Action Plan
- ACAAI Allergy/Anaphylaxis Information
- Anaphylaxis Emergency Action Plan
- ACAAI Asthma Resource
- AAAAI Asthma Emergency Action Plan and Resources
- Virginia Asthma Coalition Asthma Action Plan
- Virginia Diabetes Council Resources
- Virginia Diabetes Council Tool Kit – DMMP and Forms