Welcome new and returning families of kindergarten students!


We are excited to share the health related forms that each student entering kindergarten is asked to complete and return to the District Nurse as soon as possible or no later than the 30th school day.  The 30th school day for 2015-2016 is October 13, 2015.  Please take a moment to review each of the following items and feel free to contact the District Nurse with any questions.

Parent letter 2015-2016
Letter describes forms to be completed.
Immunization form
Wisconsin Student Immunization Record
Immunization form Spanish
Wisconsin Student Immunization Record in Spanish
Kindergarten physical exam form
The form for health care providers to complete.
Kindergarten health update
Health update form
Eye exam form
This is the form to be completed by an eye doctor or family doctor for a baseline eye exam before school.
Eye exam form Spanish
Spanish eye exam form
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  • 305 East Slifer Street, Portage, WI 53901
  • District Office Phone: (608) 742-4879
  • Fax: (608) 742-4950
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