Health History (pdf fillable)
Health History (rtf)
This information is needed in order to plan adequately to meet the needs of your child.

Medical Statement (pdf fillable)
Medical Statement (rtf)
Verification that the child has had the immunizations required by section 3313.671 of the Revised Code for admission to school, or has had the immunizations recommended by the Ohio State Department of Health for infants and toddlers or is to be exempted from these requirements for medical, philosophical, or religious reasons.

Health Screening (pdf fillable)
Health Screening (rtf)
This form must be completed within 30 days of entrance into preschool and annually thereafter.

Dental Screening (pdf fillable)
Dental Screening (rtf)
This form must be completed within 30 days of entrance into preschool and annually thereafter.

Wapakoneta City Schools

Nurse's Corner

Immunization Records

Preschool Forms

Medical Authorization

Head Lice Information

Allergy Safe School Environments