There are several health forms needed to be submitted throughout a child's elementary years. Each student at every grade level is required by the Iowa Immunization Law to have a Certificate of Immunization form or alternatively an exemption form on file with the school. A child without a valid form may be withheld from school until this documentation is received.
Four year old preschool students are required by a statewide grant to have documentation of a physical examination. All other grades a physical examination form is only recommended.
Students entering Kindergarten will need a Certificate of Dental Screening form as well as a Certificate of Vision Screening form.
Children entering the 3rd grade will require a Certificate of Vision screening form only.
The dental screening can be performed by a liicensed dentist, dental hygienist, physician, physician assistant, RN or ARNP. A screening anytime after the age of 3 years old will meet the dental screening requirement.
A vision screening no earlier than 1 year prior and no later than six months after enrollment of Kindergarten and 3rd grade will meet the requirement. An ophthalmologist, pediatrician, physician or professional licensed for this test can perform the screening.
Please ensure that all required forms are completed and submitted to the Health Office in a timely manner. Keeping these records up to date helps us maintain a safe and healthy learning environment for all students.
If you have any questions or need assistance obtaining these forms, please contact the school health office.
(You can find the needed forms on the school website (benton.k12.ia.us) by grade by going to Atkins or Keystone Elementary under Schools and clicking on the Health Forms section.

