To be completed by health care provider approved to perform health assessments.

Acknowledgement form to be completed by parent/guardian.

Prescription medication form to be signed by the prescribing provider. Over-the-counter mediation form to be signed by parents/guardians.

K.A.R. 28-1-20 defines immunizations required for any individual who attends school or a childcare program operated by a school.

Kansas school immunization requirements.

Kansas early childhood immunizatoin requirements.

Required form to be completed by a licensed physician. Parents/Guardians are not authorized to complete the form.

KCI Form B - Medical Exemption. A Medical Doctor (M.D.) or Doctor of Osteopathy (D.O.) must complete this affidavit.

Provided by the Kansas Department of Health & Environment.

Overview of immunization requirements.

Acknowledgement of immunization and physical requirements.

Medication permission form.

Student health update form.