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School Entry Health Requirements & FORMS

School Entry Health Exam (Kindergarten)

The School Entry Health Exam is intended to detect problems that may interfere with effective learning. Early identification and treatment are important because an undetected health problem can hamper your child's progress in school.

Click form title below to download/print "Report of Health Examination" form. California law requires this health exam to be completed between 18 months before entry into 1st-grade to 3 months after entry into 1st-grade.


Nea collects the Report of Health Examination for School Entry forms as part of the kindergarten enrollment process along with required vaccination records. School health exam requirements are specified in the California Health and Safety Code: California Code of Regulations, Title 5, Section 432.

Your child's health exam should include:

• Health and developmental history
• Unclothed, complete physical examination
• Oral health assessment
• Nutrition assessment
• Vaccinations, appropriate for age
• Vision screening
• Hearing screening
• Screening for anemia, lead, urine abnormalities, tuberculosis, etc.
• Health education and anticipatory guidance 

Who should do the exam and complete the form:

  • Licensed physician or physician's assistant
  • Certified pediatric/family nurse practitioner
  • Your family's usual source of medical care: private doctors, community clinics, health department clinics, HMOs, military facilities, etc. 

No-cost health exams are available to eligible children through the Child Health and Disability Prevention (CHDP) program. The CHDP program assists families in meeting the school entry health exam requirement by linking families with local CHDP providers for health assessments.

If you do not want or cannot obtain a health exam for your child, a waiver (signed by legal guardian) is acceptable, however, this is strongly discouraged. The waiver is primarily intended for use for reasons of deeply held personal beliefs, not as a matter of convenience. 


School Entry Dental Exam (Kindergarten)

To ensure your child is ready for school, California law requires that your child have an oral health assessment (dental check-up). This assessment must be done by a licensed dentist or other licensed/registered dental health professional. Your child is not healthy and ready for school if he or she has poor dental health.

Click form title below to download/print "Oral Health Assessment/Waiver" form and bring it to your child’s dental check-up. California law requires this dental exam to be completed by May 31 of the kindergarten year, or within 12 months before your child enters school. (If you cannot fulfill this requirement, please indicate reason in Section 3 of form.)


Resources to help complete this requirement:

  1. To locate a Denti-Cal dentist, call Medi-Cal/Denti-Cal’s toll-free number (800-322-6384) or use the Denti-Cal Provider Referral list.
  2. To enroll your child in Medi-Cal/Denti-Cal, go to this online resource for California benefits.
  3. For additional resources, contact your California County Public Health Department.

Follow this advice to help your family stay healthy:

  • Take your child to the dentist twice a year.
  • Choose healthy foods for the entire family - fresh foods are the healthiest foods!
  • Brush teeth at least twice daily with toothpaste containing fluoride.
  • Limit candy and sweet drinks, like punch, soda or soft drinks, even fruit juice! Sweet drinks and candy contain lots of sugar which causes cavities and replaces important nutrients in your child’s diet. Sweet drinks and candy also contribute to weight problems which lead to diseases like diabetes. The less candy and sweet drinks, the better!

Please remember:

  • Baby teeth are very important. They are not just teeth that will fall out.
  • Children need their teeth to eat properly, talk, smile, and feel good about themselves.
  • Children with cavities may have difficulty eating and have problems paying attention and learning at school.
  • Tooth decay is an infection that does not heal and can be painful if left without treatment.
  • If cavities are not treated, children can become sick enough to require emergency room treatment, and their adult teeth may be permanently damaged.

Many things influence a child’s progress and success in school, including health. Children must be healthy to learn, and children with cavities are not healthy. Cavities are preventable, but they affect more children than any other chronic disease.


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