New Student

NEW Student
School Entry Health Requirements
Check List

Forms and information I need to bring to School Nurse at school entry:
 Immunization Records (up-to-date)
• Required BEFORE school attendance.

 VactrAK access permission form
• Parental authorization for school nurse to access the State of Alaska immunization data base.

 Health Review Form
• Health history, allergies, medical diagnosis, developmental information and medications your child takes. This information is used by your school nurse and health services to support your student’s healthy attendance and academic success.

 Tuberculosis Screening
• A Tuberculosis Risk Assessment for Alaska Students must be completed by the parent/guardian. If all answers to the questions on the Risk Assessment are “no,” no further action is required. An answer of “yes” to any of the Risk Assessment questions requires follow-up. If this is the case, the parent/guardian must indicate on the Risk Assessment the method of follow-up they choose to have completed. All follow-up actions must be completed within 90 days of enrollment.
• If your child has had a previous positive TB test, please bring these records.

 Health Exam by Health Care Provider.
• Entry physicals confirm safe participation by students in normal school activities
• If this is a financial hardship, please contact School Nurse

Welcome to our school!

School Nurse: Laura Peek, RN
Phone: 907-235-5788
Email: lpeek@kpbsd.k12.ak.us

School nursing, a specialized practice of nursing, protects and promotes student health, facilitates optimal development, and advances academic success. Our vision is that all students will be healthy, safe, and ready to learn.