School Health Forms (Virginia Department of Health
COMMONWEALTH OF VIRGINIA SCHOOL ENTRANCE HEALTH
FORM
Health Information Form/Comprehensive Physical Examination
Report/Certification of Immunization
The physical examination form (PDF) and the instructions for completing the form (PDF) may be downloaded from the Virginia Department of Health web links below.
- Commonwealth of Virginia School Entrance Health Form MCH 213G (revised 01/11).
- Commowealth of Virginia School Entrance Health Form MCH 213G instructions (revised 01/11).
Commonwealth of Virginia School Entrance Health Forms page


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