MEDICAL FORMS

Health Requirements and Medical Forms

 

Please see all the Indiana health requirements for your student in the charts below.  All needed forms are linked below and should be submitted to school prior to the first day of school.

 

 













 

 

 

REQUIRED MEDICAL EXAMINATIONS/FORMS 

NEW STUDENTS

Physical Examination Form and Immunizations
 

Physical Examination Forms and required immunizations must be submitted prior to the first day of school in order for students in grades K and 6 and new students to begin school.  The physical exam must be completed within one calendar year prior to the start of school.

 

 

 
 
 
 
Kindergarten Vision Screening Report
 

Indiana State Law mandates that all incoming Kindergarten students must present a vision screening report to determine defects in visual acuity, binocular coordination, and refractive error.  The report must be completed within one year prior to the start of school.

 

 

Address:

14795 101st Avenue

Dyer, IN  46311

info@providenceca.org
Tel: 219-588-9090

 

Providence Christian Academy

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