All forms for the 2017-2018 school year are due Friday, June 30, 2017

This page lists the screenings and immunizations required for each child based on their grade level. Please email all required to forms to gro.l1519004427oohcs1519004427anocn1519004427a@rar1519004427tsige1519004427r1519004427 or drop them off at the Main Office.

Hearing and vision screenings are conducted by a technician at Ancona during the fall of each school year. These screenings are available at no cost to families..

New Students 

Note that new students who are starting mid school-year must have all forms on file before their first day of school.

* Hearing and vision screenings are provided by Ancona in the Fall, so students starting in September do not need to undergo hearing and vision screenings before coming to Ancona.  However, new students starting mid school-year must be screened elsewhere before their first day of school.

Preprimary

Kindergarten

1st grade

  • hearing screen (provided by Ancona)

2nd grade

  • vision screen (provided by Ancona)
  • hearing screen (provided by Ancona)
  • dental exam

3rd grade

  • hearing screen (provided by Ancona)

5th grade

6th grade

7th grade

  • show proof of receipt of one dose of Tdap vaccine (containing tetanus, diphtheria, acellular pertussis). Most students may have already received the vaccine and simply need to provide the school with verifying documentation from the family health care provider.
  • students who will be participating in a sport must receive a sports physical examination

8th grade

  • vision screen (provided by Ancona)
  • show proof of receipt of one dose of Tdap vaccine (containing tetanus, diphtheria, acellular pertussis). Most students may have already received the vaccine and simply need to provide the school with verifying documentation from the family health care provider.
  • students who will be participating in a sport must receive a sports physical examination

Students receiving special education services 

  • vision screen (provided by Ancona)
  • hearing screen (provided by Ancona)

Student who need to have medications administered at school that are not included in the action plan need to complete the following form