Commonwealth of Virginia School Entrance Health Form MCH 213F (revised 4/07)
Commowealth of Virginia School Entrance Health Form MCH 213F (revised 4/07) instructions
Certificate of Religious Exemption
If you are a child care provider, private/parochial school, Head Start program, day or residential camp, or others who utilize the form, please download and print the Commonwealth of Virginia School Entrance Health Form MCH 213F (revised 04/07).
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 213F (revised 04/07),
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 213F (revised 04/07) or obtain the form from the public elementary school where the child will be enrolled.
Contact: Janet Wright, RN, BSN
School Age Health Specialist
Division of Child and Adolescent 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
