St. Stephen the Martyr School                   

School Health Forms

St. Stephen the Martyr School

 Health Forms

2009-2010

2009-2010 Health Requirements for students entering 7^th grade:

This is just a reminder that all students entering 7^th grade, Nebraska School Law requires all students to have a physical examination within six (6) months prior to the entrance of school.   A dental examination is also recommended at this time.

All physical forms, immunization updates, or documentation of varicella need to be on file in the school office prior to the first day of school, August 20, 2009.

Questions to Mary Ann at:  m.maier@stephen.org or 896-0754.  Thanks!

• School Immunization Rules and Regulations

• Health Examination Card

• Documentation of Varicella (Chickenpox) Disease

• Vision Screening Requirement

2009-2010 H1N1 Influenza information from the Archdiocese and the Douglas County Health Department.

• H1N1 information from the Omaha Archdiocese

• 2009 Influenza Consent Form (English)

• 2009 Influenza Consent Form (Spanish)

• H1N1 Inactive Injection Information (English)

• H1N1 Inactive Injection Information (Spanish)

• H1N1 Active Mist (English)

• H1N1 Active Mist (Spanish)