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Florida law requires that we must have the original, up-to-date Health and Immunization records on file, signed by a Florida physician, showing current information for each child registered. Your physician should have a supply of the Palm Beach County medical forms.

Physical (Health) Examinations:

Each child must have on file a written health examination on form DH Form 3040. The general health examination certificate shall be completed by a person given authority by Florida Statutes to perform health examinations. The examination shall have been performed within six (6) months prior to enrollment, (unless the child has transferred from another childcare, preschool, or family care facility).    

The certificate shall attest that the child is in good health or that any known medical condition or health problem is under treatment.

The certificate is valid for two (2) years from the date the physical was performed.

Immunizations:
Upon admission, each child must have on file, DH Form 680, with the following Immunizations listed by date.   
  • 4 DTP (Diphtheria, Tetanus, Pertussis,)
  • 3 OPV (Oral Polio)
  • 4 HIB
  • 2 MMR (Measles, Mumps, Rubella)
  • 3 Hepatitis B   
  • 1 Varicella (chickenpox) vaccine. 
 
The above-listed immunizations, physical examination form, and a copy of the birth certificate are required to be on file in the Preschool office BEFORE a student may begin school.