Medical Forms
For Children Entering Preschool (Seedlings) and Pre-K (Sprouts)
Preschool students are required to complete a child medical history and child medical statement form.
Child Medical History
Child Medical Statement
Child Medical Record/Immunization
Students Entering Kindergarten
Kindergarten students are required to submit a completed/updated immunization form verifying the child's vaccinations required by the State of Ohio.
Child Medical Record/Immunization
Medication Administration Policy & Forms
Medication Administration Policy
Administration of Medication While Under School Authority Form
Student Medical Action Plan Forms
Asthma Action Plan
Preschool students are required to complete a child medical history and child medical statement form.
Child Medical History
Child Medical Statement
Child Medical Record/Immunization
Students Entering Kindergarten
Kindergarten students are required to submit a completed/updated immunization form verifying the child's vaccinations required by the State of Ohio.
Child Medical Record/Immunization
7th Grade Immunization Form
Medication Administration Policy & Forms
Medication Administration Policy
Administration of Medication While Under School Authority Form
Student Medical Action Plan Forms
Asthma Action Plan
Seizure Action Plan
Forms may be emailed to Linda Miyares at admission@birchwoodschool.org or mailed to:
Birchwood School of Hawken
4400 W 140th St
Cleveland OH 44135
Forms may be emailed to Linda Miyares at admission@birchwoodschool.org or mailed to:
Birchwood School of Hawken
4400 W 140th St
Cleveland OH 44135
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