The State of California and Santa Clara County require all students to fulfill a number of health requirements before they can enter school. Parent(s)/Guardian(s) are advised to carefully check all of the below requirements to ensure their children's health records are compliant prior to school entry. 

  1. Immunizations Required for School Entry (click here for more information)
    • Parents must provide their child’s Immunization Record as proof of immunization at the time of registration
    • An acceptable "Immunization Record" must contain the following information:
    1. Name and birthdate of the student.​​​​​
    2. Vaccine(s) type and date (month,day,year) given.
    3. Official document from the physician or agency administering the vaccine(s) must include one of the following:
      1. Physician Stamp
      2. Physician Signature
      3. Hospital/Clinic Letterhead
      4. Printout from Hospital/Clinic online medical record, with name of Hospital/Clinic identified
      5. California Immunization Registry (CAIR) printout
      6. Blue Card from another school
      7. Military Health Records
    • For students that have immunizations that are not due yet, the school will contact parent(s)/guardian(s) to request that the necessary immunizations be completed, based on the California immunization schedule (click here for more information).
    • If your child hasn't received any/all required immunizations for medical reasons, a medical exemption from a licensed California physician (MD or DO) (permanent or temporary) must be submitted. For medical exemption letter to be compliant, it must be a written statement from a physician (MD or DO) licensed in California which states:
      • The specific nature of the physical condition or medical circumstance of the child for which a licensed physician does not recommend immunization.
      • Each specific required vaccine that is being exempted.
      • Whether the medical exemption is permanent or temporary.
      • If the exemption is temporary, an expiration date no more than 12 calendar months from the date of signing.
    • Titers are not an acceptable form of immunization history. Vaccine administration records must be submitted or a medical exemption letter from a licensed California physician (MD or DO). 
    • In order to meet the chickenpox requirement for those who have a history of chickenpox disease, a medical exemption letter must be submitted from a licensed California physician (MD or DO).
    • For more information on where to go locally to get immunizations for your child, click here.

  2. Tuberculosis (TB) Requirements for School Entry (click here for more information)
    • Students newly enrolling into a school in Santa Clara County are required to have their healthcare provider complete a TB Risk Assessment for School Entry form (click here for the form). The TB Risk Assessment for School Entry form must be completed by a United States licensed health professional.
    • TB skin or blood testing is ONLY required if their healthcare provider identifies a risk factor for TB exposure on the TB Risk Assessment form.
    • To be valid, documentation must show a TB risk assessment or tests was performed in the United States up to twelve months prior to registration for school. 

  3. Oral Health Assessment KINDERGARTEN ONLY
    • A dental check-up is required by May 31st of Kindergarten or 1st grade for students who did not attend a California public school for Kindergarten.
    • To be valid, documentation must show the oral health examination was preformed no earlier than 12 months prior to the date of initial enrollment. 
    • For a copy of the form, click here.
    • For information on low-cost dental clinics, click here.
    • For families with Denti-Cal, the following link lists providers who accept Denti-Cal:
      Santa Clara County Denti-Cal Providers
      San Mateo County Denti-Cal Providers

  4. Health Examination for School Entry (CHDP Report) FIRST GRADE ONLY
    • California law requires a health assessment 18 months before or up to 90 days after enrolling in first grade.
    • For a copy of the form, click here.


If you have questions about enrollment requirements, please contact Registration Services at or 650-329-3707.

For other health related questions, please contact Health Services at or 650-833-4240.

Medication Administration at School or on Field Trips

Any student who is required to take prescribed medication during the school day may be assisted by a school nurse or designated school personnel if the school receives a completed “Medication Authorization Form” signed by a California licensed health care provider and the student’s parent or guardian (EC 49423).

Upon written parent’s consent and school nurse approval, a student may be allowed to carry and self-administer prescription auto-injectable epinephrine, prescription inhaled asthma medication, or medications and supplies prescribed for the management of diabetes. Students may be allowed to carry and self-administer these prescribed medications if the school receives a completed “Medication Authorization Form” and the “Student/Parent Consent to Carry and Self-Administer Medication” form and after approval by the school nurse.

Medication forms can be obtained from the school health office or printed from the links below.

No medication, including herbal remedies or other over-the-counter drugs, will be stored or dispensed at school without written authorization from the physician and parent. All medication permits must be renewed at the beginning of the school year before school employees may assist with medication administration. Updated forms for the next school year must be signed after the current school year ends.

Medication must be supplied by the parent in the original prescription clearly labeled with student’s name, medication, dosage and directions, or original over-the-counter container.

Your child's school will keep an accurate written record documenting that the medication was administered in the prescribed amount at the prescribed time.

Medication Authorization Forms

If your student has Type 1 Diabetes, Type 2 Diabetes, or a specialized health care procedure (i.e. Catheterization, Gastrostomy Tubes, etc.), please contact Health Services directly at or 650-833-4240 for information on necessary forms and protocols.