Forms for Student Physical Exam and Dental Exam

All students that are entering the public school system for the first time must receive a physical exam and dental exam. These are the requirement for the 2019-2020 school year:

  • For new TK & Kindergarten students a physical examination is required from a doctor performed after February 19, 2019. This must include a health history and complete physical exam. For all other grades, a copy of the most current physical must be submitted.


  • Oral Health Assessment per Ed. Code Section 49452.8, which requires TK, Kindergarten, and 1st grade students submit proof of an oral health assessment performed by a licensed dentist. This exam must be done after September 1, 2018.

Please click below to download the forms provided to us by the State of California-Health and Human Services Agency

Report of Health Exam for School Entry

Oral Health Assessment

Oral Health Assessment-Spanish