Knoxville Cummunity School District Logo

LEAD ~ COMMIT ~ ACHIEVE

Nurse / Health

Departments

Nurse/Health

Angie Mitchell, BSN, RN

  • Cell:  641-891-6016
  • Ofc:  641-842-6551 ext 10

HEALTH FORMS & POLICIES

ALL students PK-12: Annual Health History Form

Kindergarten:

  1. Health History Form
  2. Immunization Record with required Kindergarten vaccines
  3. Kindergarten Physical (and lead test)
  4. Dental exam (within 1 year of start of school)
  5. Vision exam (within 1 year of start of school)
  6. Optional for those with food allergies: Diet Modification Form
  7. Optional for those who need daily medication at school: Medication Administration Form

Pre-School:

  1. Health History Form
  2. Immunization Record with required Preschool vaccines
  3. PreSchool Physical
  4. Optional for those with food allergies: Diet Modification Form
  5. Optional for those who need daily medication at school: Medication Administration Form

3rd grade: Proof of an vision exam. An exam within 1 year before and 6 months after enrollment in 3rd grade is acceptable. Your eye doctor should have the form.

7th grade: in addition to the Tdap requirement, the NEW requirement is for 1 dose of Meningococcal vaccine on or after 10 years of age and grade 7 if born after 9/15/2004.

Grades 6-12 (optional): Tylenol consent

9th grade: Proof of a dental exam. An exam within 1 year before to 4 months after enrollment in 9th grade is acceptable. Your dentist should have the form.

12th grade: NEW requirement is for TWO doses of Meningococcal vaccine

Policies

KCSD Wellness Policy
Nutrition Education and Promotion

Illness Policy

  • Communicable Disease Policy
  • Illness and Absences Guidelines