Enrollment Information

Prior to the Start of School Please Provide:
• Physician’s Report of Health (forms can be obtained at the school)
• Immunization Records: for more information, see the CA Dept of Health Services’ Website at http://www.dhs.ca.gov/ps/dcdc/izgroup/family/shared/school_law.htm
• Oral Health Form or Request for Waiver

Oral Health Form or Request for Waiver – New for 2007
Take the Oral Health Assessment/Waiver Request form to your dental office, as it will be needed for your child’s check-up. If you cannot take your child in for this required assessment, please indicate the reason for this in Section 3 of the form. You can get more copies of the necessary form at school or online from the California Department of Education’s Web site at http://www.cde.ca.gov/ls/he/hn/oralhealth.asp

Privacy
California law requires schools to maintain the privacy of students’ health information. Your child’s identity will not be associated with any report produced as a result of these requirements. If economic circumstances are preventing you from obtaining the above requirements, you may be eligible for assistance.

Please contact our office for further information or to register info@westsideusd.org

Enrollment Information Forms & Links 1201 Felta Road Healdsburg, CA 95448 Phone: (707) 433-3923 Fax: (707) 433-7341 Day Care: (707) 433-4541 info@westsideusd.org	Enrollment Information Prior to the Start of School Please Provide: • Physician’s Report of Health (forms can be obtained at the school) • Immunization Records: for more information, see the CA Dept of Health Services’ Website at http://www.dhs.ca.gov/ps/dcdc/izgroup/family/shared/school_law.htm • Oral Health Form or Request for Waiver Oral Health Form or Request for Waiver – New for 2007 Take the Oral Health Assessment/Waiver Request form to your dental office, as it will be needed for your child’s check-up. If you cannot take your child in for this required assessment, please indicate the reason for this in Section 3 of the form. You can get more copies of the necessary form at school or online from the California Department of Education’s Web site at http://www.cde.ca.gov/ls/he/hn/oralhealth.asp Privacy California law requires schools to maintain the privacy of students’ health information. Your child’s identity will not be associated with any report produced as a result of these requirements. If economic circumstances are preventing you from obtaining the above requirements, you may be eligible for assistance. Please contact our office for further information or to register info@westsideusd.org