The Nativity School
Immunization/Medical Information
School Entry Health Form due within 90 school days of starting 1st Grade


Dear Parents,

Early and regular health checkups can find, prevent, and treat many health problems before they become serious. That is why California has a law that says all children must have a health checkup within 18 months before first grade or up to 90 days after starting first grade. Your child must also have certain immunizations, or shots, for school. Your doctor will be able to check your child’s immunization record and see what shots are needed during the health checkup. Your doctor will complete this form and you need to return to your child’s school.