SY22: 7th Grade Physical & Immunization Forms

This Information is from the SDPBC
ATTENTION PARENTS/GUARDIANS OF STUDENTS WHO WILL BE IN GRADE 7 DURING THE 2021-22 SCHOOL YEAR!
MANDATORY: 7th Grade Immunization & Physical Exam
DO NOT WAIT - GET IT COMPLETED THIS SUMMER!

NO SHOTS!   NO PHYSICAL!   NO SCHOOL!   NO KIDDING!

The following documentation must be submitted to the school prior to the start of the 2021-2022 school year to meet 7th grade REQUIREMENTS.

 IMMUNIZATIONS

(Completed - Florida Certification of Immunization form DH 680)
* Hepatitis B, Polio, DTP/DT Vaccine series completed
** Two doses Measles, Mumps and Rubella Vaccine (MMR)
*** Two doses of Varicella (chicken pox)
Tetanus/Diphtheria/Pertussis (Tdap) booster

 *Hepatitis B alternate two-dose series for adolescents 11—15 years of age; both two-dose and     three-dose series require a minimum of 4 months to complete.**Two doses of measles, mumps and rubella vaccine in the combined form (MMR).

(The second dose of MMR vaccine was recommended beginning school year 2008-2009; however, students already enrolled in 7th Grade with a valid DH680 having two measles, one mumps, and one rubella immunizations should not be excluded.  They should be advised to receive a second dose of MMR).

 ***Varicella vaccine is not required if the child has documentation of history of varicella disease.

 Original Florida Certification of Immunization Form (DH 680) is the only form that schools are permitted to accept as proof of immunizations (any color is accepted with the seal of the State of Florida) 

                            SCHOOL PHYSICAL EXAMINATION

Completed - School Entry Health Exam form DH 3040

The Physical Examination must be completed within 12 months prior to the date of entry into 7th grade.  Physicals MUST have been  conducted 8/11/20 or later. Therefore, physicals for the upcoming year can be done now and will be valid for entry.  Make sure that all sections are completed and ensure the parent signs on Page 1 and the physician sign/stamp on Page 2!

 ONCE YOU HAVE BOTH COMPLETED FORMS (make a copy), then PLEASE SUBMIT THE ORIGINAL FORMS IN ONE of the FOLLOWING WAYS:

  1. Scan, Attach, and Email Joanne Friedel your physical and immunizations forms at: joanne.friedel@palmbeachschools.org. You must include the following in the email: parent’s full name, student's full name, student I.D., grade level, school your child attended in SY21, and the name of the document(s) you attached. Children new to the public school system will not have a student I.D.
  2. Mail the physical and immunizations forms and include the following: parent’s full name, your student's full name, student I.D., grade level, school your child attended in SY21, and the name of the document(s) you attached. Children new to the public school system will not have a student I.D.

Bak MSOA
℅ Joanne Friedel
1725 Echo Lake Drive
W.P.B., FL 33407

Incoming 2021-22 7th Grade Mandatory Immunizations & Physical Forms.pdf

Search
https://www.facebook.com/PBCSD/
https://www.instagram.com/pbcsd/
https://twitter.com/pbcsd
https://www.youtube.com/channel/UCIK9U-c6_PllykRg3PoZtPA