Spotsylvania County Public Schools

School Entry Requirements

Resident of Spotsylvania County
School records (if transferring)
Birth Certificate or Certified copy
Students Social Security card
Physical exam by a physician, Nurse practitioner, or physician assistant
Proof of Immunization
Proof of custody, if applicable

Free Immunizations

Free Immunizations can be obtained from:

Spotsylvania Health Department
The Holbert Building, 2nd Floor
9104 Courthouse Road
Spotsylvania, VA 22553
Phone number: (540) 507-7400
Hours: Monday 8:00 AM-12:00 PM

Fredericksburg Health Department
608 Jackson Street
Fredericksburg, VA 22401
Phone number: (540) 899-4142
Hours: Tuesdays 8:00AM- 12:00PM

Health Forms

6th Grade Tdap Form- Revised 7/2014
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Tdap Revised 7. 2014.pdf 77.65 KB (Last Modified on July 2, 2014)

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Allergy/Anaphylaxis Action Plan
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Allergy_Anaphylaxis_Care_Plan_2016.pdf 96.12 KB (Last Modified on October 5, 2016)

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Asthma Action Plan in Color
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Asthma Action Plan-revised 2012.pdf 108.41 KB (Last Modified on June 12, 2015)

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Diabetes Medical Management Plan(DMMP) 2016
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Diabetes Medical Management Plan-2016.pdf 149.64 KB (Last Modified on August 4, 2016)

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Emergency Plan
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This form is for Students with Special Health care needs.

Students Special Health Emergency Plan.pdf 13.51 KB (Last Modified on September 2, 2016)

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Medical Exemption
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Medical Exemption.pdf 5.04 KB (Last Modified on January 8, 2014)

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Medication Request Form
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MEDICATION REQUEST FORM.pdf 23.46 KB (Last Modified on January 8, 2014)

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Religious Exemption
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Religious_Exemption.pdf 9.65 KB (Last Modified on October 5, 2016)

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School Entry Physical Form
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MCH 213G 032014.pdf 369.13 KB (Last Modified on July 2, 2014)

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Seizure Action Plan
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seizure-action-plan-pdf_0.pdf 265.93 KB (Last Modified on March 28, 2014)

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Seizure Parent Questionnaire
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Seizure -Parent-Questionnaire 2016.pdf 280.11 KB (Last Modified on September 13, 2016)

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Seizure Parent Questionnaire- Spanish
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Seizure- Parent- Questionnaire Spanish 2016.pdf 50.47 KB (Last Modified on September 13, 2016)

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Special Dietary Needs
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Special Dietary Needs 2017.pdf 131.30 KB (Last Modified on April 5, 2017)

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Sports Physical
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VHSL Sports Physical-2013-14.pdf 165.52 KB (Last Modified on January 8, 2014)

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TB Risk Assessment for students
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TB_Risk_Assessment_Students_2016.pdf 72.93 KB (Last Modified on October 5, 2016)

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Health Services

School Entry Requirements

Free Immunizations

Health Forms