Alexander Valley School

Physician’s Report of Health

Click here for the Form to take to your doctor.

Immunization Records

Click here for more information, please see the Ca Dept of Health Services website.

Oral Health Form or Request for Waiver

Click here for the Oral Health Assessment/Waiver Request form.

Please take the Oral Health Assessment/Waiver health form to the dental office, as it will be needed for your child’s check-up.

If you cannot take your child for this required assessment, please indicate the reason for this in Section 3 of the form.

You can get more copies of the necessary form at your child’s school or online from the California Department of Education’s Web site at;

cde.ca.gov/ls/he/hn