Portage Community School District

The following form is the health form that shall be completed on each student attending any one of the preschool classrooms associated with the Portage Community School District Program. Please take a moment to complete this and return it to your child's preschool program or directly to the the District Nurse via the Gerstenkorn Administration Building at 305 E. Slifer Street, Portage. If you need to speak with the district nurse regarding health concerns for your child, please contact her at 742-4867, extension 4022.

Students enrolled in any one of the preschool programs, shall provide written a written immunization record to the Portage Community School District. Immunization compliance is tracked by both the school district under the Wisconsin Student Immunization Law and the preschool under their licensing agency through the State of Wisconsin. We realize that this may seem duplicative, but we are trying to work together to provide the safest environment for your child.

Here is more information on the District Preschool Program.

Preschool Immunization form

A form to share your child's immunization history with the school district. Please note that this form is required by the school district and a separate copy for the preschool.

Preschool immunization form Spanish

An immunization form in Spanish.

Preschool Health Form 2019-2020

This forms gives the school district your child's health history. This form is required for the District to cover the cost of your child's tuition at a Preschool Partnership site.