Text Options for the Visually Impaired Font Size: a- A+ Color: A A A Revert 
Close vision bar
Open vision bar

Medical Forms

KY Health Care Exam Form K-4th Grade
KY Eye Exam Form

KY Health Care Exam Form 5th to 12th Grade

Kentucky Dental Screening/Examination Form for School Entry


Over the Counter Medication Form
Permission Form for Prescribed Medication

Sports Physical Grades 9-12, 2018-2019

Sports Physical Grades 4-8,  2018-2019


*Adobe Reader is required to view some of these files. You can

download it here.

School Health Requirements: All students enrolling for the first time in Laurel County Public Schools must have the following (as referenced in KRS 158.0335, KRS 214.034, KRS 156.160 and 702 KAR 1:160 Section 2):

  • A current Kentucky immunization certificate;
  • A physical examination completed within one year prior to or 30 days after entering school;
  • A Kentucky eye examination completed by a licensed ophthalmologist or optometrist by Jan. 1 of the year of enrollment;
  • A Kentucky dental examination completed by a licensed dentist or dental hygienist (required for all 5- or 6-year-olds enrolled in public school)

Student Accidental Injury Insurance is available for purchase for the 2018-2019 school year.  For more information click here.  

The Laurel County Board of Education provides a secondary insurance policy which applies to injuries received by a student during school or any board approved school or athletic activity.  The district policy does not provide unlimited coverage and the following guidelines MUST be followed for any claims to be process against the district policy.

  • If a student suffers an injury, any family insurance coverage available must first be applied to medical costs incurred.
  • If all cost is not covered by the family policy, it is the responsibility of the parent to obtain from their child’s school or downloaded by clicking here and complete all applicable claim forms to make any claim for payment by the school policy.
  • The completed form must be submitted with any bills, your insurance company’s explanation of benefits, or claims for payment.  No bills or claims will be accepted without the completed form.

       To submit questions regarding this application click here.