Physical and Dental Forms

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Physical Forms

Physical Exam Forms

Due at on the first day of entry to school (K or 1st), 6th grade, and 11th grade.  Forms can be dated after June 1 of the previous year.
For example:  6th grader starting in Sept 2019 can submit any Physical dated after June 1 2018 to meet this requirement.

Click here for blank Physical Exam Form

Dental Forms

Dental Exam Forms

Due at the first day of entry to school (K or 1st), 3rd grade, and 7th grade. Forms can be dated after June 1 of the previous year.
For example: 3rd grader starting in Sept 2019 can submit any Dental dated after June 1 2018 to meet this requirement.

Click here for blank Dental Exam Form

We can also accept Physical and Dental forms that are auto-generated by your care provider. (ie: well child visit summary) 

These can be sent in:

• with student to school
• Faxed: 215-944-2497
• E-mail: JLeachko@crsd.org