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Medical Forms

Table with links to student health forms

KY Health Care Exam Form K-4th Grade
PDF

KY Eye Exam Form
PDF

KY Health Care Exam Form 5th to 12th Grade
PDF

Kentucky Dental Screening/Examination Form for School Entry
PDF

 

Over the Counter Medication Form
Permission Form for Prescribed Medication

Sports Physical Grades 9-12, 2019-2020

Sports Physical Grades 4-8,  2019-2020

 

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)

 

Click to view the Student Accidental Injury Insurance available for purchase for the 2019-2020 school year.  
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 an applicable claim form to make any claim for payment.  Download the form, complete, return to the school.  
  • 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.