Please review the Immunization & Health Records Requirements for Pre-K and Kindergarten students for the 2012-2013 school year.
To the parents of Pre-K students arriving in Fall 2012:
The State of Virginia requires parents of Pre-K students to submit the following:
1. An immunization form must be in the child’s record by the date of the child’s admission. The first day of Pre-K is Wednesday, September 5th, 2012.
2. Immunizations must be recorded and dated on either the Health Dept. form (MCH 213F or MCH 213G) or a physician’s form, include the child’s name, and be signed or stamped and dated by a licensed physician, the physician’s designee, or an official of a local health department.
3. For all immunizations a child receives after 7/1/12, the form must contain a statement (typed or handwritten) that the child is adequately immunized.
The current Form MCH213G is available at the following website:
If your child has any chronic health conditions, such as food or substance allergy or asthma, the necessary forms are available under “Education” and the “Parents” portion of the Catholic Diocese of Arlington website. Click on “Forms.” Be sure to submit an Authorization Form for the medication along with the Action Plan for the condition. All medications must be brought in by the parents, not by the child. If a child needs an Epi-Pen, please bring two — one for the class, one for the Nurse’s Clinic.
To the parents of Kindergarten students arriving in Fall 2012:
A new Physical Exam is necessary, dated less than one year from the time of admission. Kindergarten begins on Monday, August 27th. This Exam should be on, or accompanied by, the Virginia Department of Health form MCH 213G. (See the website above for the form). Tip: Print out the MCH213G and hand it to the physician before the physical exam for this year, if possible, so as to avoid an additional charge to complete it out outside the office visit. The Physical must include all the immunizations required by the Commonwealth of Virginia as indicated by the chart on the following website: