Required Medical Forms – Politz Day School of Cherry Hill
Source: https://politz.org/required-medical-forms
Archived: 2026-04-23 17:15
Required Medical Forms – Politz Day School of Cherry Hill
Call Us: 856-667-1013
Required Medical Forms
Parent Resources
Weekly Politz Press
Make A Payment
Required Medical Forms
PPTA (Politz Parents Teacher Association)
PPTA Birthday Club
Volunteer Opportunities
School Events
Required Medical Forms
All medications and completed medical forms must be brought to school by a parent or guardian by the first day of school. Medical forms are available for download below. To request a hard copy, please email
office@politz.org
or call 856-667-1013.
Any student whose parent or guardian has not submitted the completed, state-mandated forms prior to the first day of school WILL BE EXCLUDED from school until
all
requirements are met.
ALL New K-8 Students
All new students from Kindergarten-8th Grade must submit the
Student Health History
which is completed by the parent, and the
Universal Child Health Record Form
completed by a doctor who has examined your child within 365 days of start of school. We will also need
full vaccination records.
All medical forms must be submitted prior to the first day of school. If your child has an appointment with the doctor past the first day of school, a note from the doctor or an appointment card with the date of exam is required before the first day of school.
All New Preschool Students
All NEW preschool (Toddlers-PreK) students must submit the
Student Health History
completed by a parent, and
PreSchool Physical Exam and Imm Rec.
completed by a doctor who has examined your child within 365 days of start of school. All medical forms must be submitted prior to the first day of school. If your child has an appointment with the doctor past the first day of school, a note from the doctor or an appointment card with the date of exam is required before the first day of school.
Flu Vaccine Requirement Letter
PLEASE NOTE: Per state law, all preschool students (aged 59 months and under) MUST provide documentation of a flu shot by December 31 of the current year. Failure to provide this documentation by December 31 will result in exclusion from school until documentation is provided.
All KINDERGARTENERS
All incoming Kindergarten students (even those currently at Politz) must submit the
Student Health History Form
which is to be completed by a parent or guardian AND
Universal Child Health Record Form
completed by a Physician within 365 days of start of school. We will also need
full vaccination records
. All medical forms must be submitted prior to the first day of school. If your child has an appointment with the doctor past the first day of school, a note from the doctor or an appointment card with the date of exam is required before the first day of school.
Requirements for All Sixth Graders
All sixth graders must provide documentation of Tdap and Meningococcal vaccinations prior to the first day of school. Please read this
6th Grade Parent Letter
for information.
If you child has an appointment with the doctor past the first day of school, a note from the doctor or an appointment card with the date of exam is required before the first day of school.
FORMS
Student Health History
Universal Child Health Record
PreSchool Physical Exam and Imm Rec.
Annual Health Updates
The following forms are only required for students needing Epi-pens, Asthma Medications or other daily medications to be administered in school:
Med Administration in School Requirements
Med Administration Form
Epi – List of Required Docs
Epi 1- Physician Permission
Epi 2- Parent Permission
Epi 3- Emergency Health Care Plan
Asthma Treatment Plan ENG B&W
Asthma School Record
Asthma Letter PDF
Call Us: 856-667-1013
Required Medical Forms
Parent Resources
Weekly Politz Press
Make A Payment
Required Medical Forms
PPTA (Politz Parents Teacher Association)
PPTA Birthday Club
Volunteer Opportunities
School Events
Required Medical Forms
All medications and completed medical forms must be brought to school by a parent or guardian by the first day of school. Medical forms are available for download below. To request a hard copy, please email
office@politz.org
or call 856-667-1013.
Any student whose parent or guardian has not submitted the completed, state-mandated forms prior to the first day of school WILL BE EXCLUDED from school until
all
requirements are met.
ALL New K-8 Students
All new students from Kindergarten-8th Grade must submit the
Student Health History
which is completed by the parent, and the
Universal Child Health Record Form
completed by a doctor who has examined your child within 365 days of start of school. We will also need
full vaccination records.
All medical forms must be submitted prior to the first day of school. If your child has an appointment with the doctor past the first day of school, a note from the doctor or an appointment card with the date of exam is required before the first day of school.
All New Preschool Students
All NEW preschool (Toddlers-PreK) students must submit the
Student Health History
completed by a parent, and
PreSchool Physical Exam and Imm Rec.
completed by a doctor who has examined your child within 365 days of start of school. All medical forms must be submitted prior to the first day of school. If your child has an appointment with the doctor past the first day of school, a note from the doctor or an appointment card with the date of exam is required before the first day of school.
Flu Vaccine Requirement Letter
PLEASE NOTE: Per state law, all preschool students (aged 59 months and under) MUST provide documentation of a flu shot by December 31 of the current year. Failure to provide this documentation by December 31 will result in exclusion from school until documentation is provided.
All KINDERGARTENERS
All incoming Kindergarten students (even those currently at Politz) must submit the
Student Health History Form
which is to be completed by a parent or guardian AND
Universal Child Health Record Form
completed by a Physician within 365 days of start of school. We will also need
full vaccination records
. All medical forms must be submitted prior to the first day of school. If your child has an appointment with the doctor past the first day of school, a note from the doctor or an appointment card with the date of exam is required before the first day of school.
Requirements for All Sixth Graders
All sixth graders must provide documentation of Tdap and Meningococcal vaccinations prior to the first day of school. Please read this
6th Grade Parent Letter
for information.
If you child has an appointment with the doctor past the first day of school, a note from the doctor or an appointment card with the date of exam is required before the first day of school.
FORMS
Student Health History
Universal Child Health Record
PreSchool Physical Exam and Imm Rec.
Annual Health Updates
The following forms are only required for students needing Epi-pens, Asthma Medications or other daily medications to be administered in school:
Med Administration in School Requirements
Med Administration Form
Epi – List of Required Docs
Epi 1- Physician Permission
Epi 2- Parent Permission
Epi 3- Emergency Health Care Plan
Asthma Treatment Plan ENG B&W
Asthma School Record
Asthma Letter PDF