Commonwealth of Virginia School Entrance Health Form MCH 213G (revised 01/11)
Commowealth of Virginia School Entrance Health Form MCH 213G (revised 01/11) instructions
Certificate of Religious Exemption
Child care provider, private/parochial school, Head Start program, day or residential camp, or others-
If you choose to utilize the Commonwealth of Virginia School Entrance Health Form MCH 213G (revised 10/2010), please download and make copies as needed.
If you are a local health department, public school nurse coordinator , or their designee, click here.
Parents enrolling their child in public schools may download and print the Commonwealth of Virginia School Entrance Health Form MCH 213G (revised 10/2010),
or they may obtain the form from the public elementary school where the child will be enrolled.
Health care providers, direct parents to download and print the Commonwealth of Virginia School Entrance Health Form MCH 213G (revised 10/2010) or obtain the form from the public elementary school where the child will be enrolled.
The Food Allergy & Anaphylaxis Network (FAAN) Food Allergy Action Plan
Epilepsy Foundation Seizure Action Plan
Contact: Janet Wright, RN, BSN, NCSN
School Age Health Specialist
Division of Child and Family Health
Virginia Department of Health
109 Governor Street 8th Floor
Richmond, Virginia 23219
Phone: 804-864-7689 Fax: 804-864-7722
Email: Janet.Wright@vdh.virginia.gov
