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Health Forms
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California School Immunization Law
Under the California School Immunization Law (California Health and Safety Code, Sections 120325-120375), students in grades TK / K through 12 are required to receive specific immunizations in order to attend public schools. Please contact your child’s school for immunization requirements.
Health and Safety Code 124085 requires students entering Kindergarten or first grade in a public or private school in California have a comprehensive health examination. Each child shall present evidence that a physical screening examination has been done sometime during the 18 months before entering first grade.
The following school based clinics provide zero to low-cost immunizations and first grade physicals:ذكذكتسئµ¹ظ·½ Unified School District does not endorse any specific health care provider.
Central City Community
Health Center
(714) 520-0855SAC Health System
(909) 820-8160 or
(909) 382-7100 -
Physician's Recommendation for Medication Form
*Physician's Recommendation for Medication Form (Elementary School) ( // )
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Oral Health Assessment Form
Oral Health Assessment Form ( // )
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Special Meals Accommodation Form (Physician)
*Special Meals Accommodation Form (Physician) ()
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Recent Flyers
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SAC Health- ذكذكتسئµ¹ظ·½ School Base Clinic
Offering Immunizations, 1st Grade Physicals, Flu Shots and Sports Physicals
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School Nurse:
Claudia Flores, RN
Health Clerk:
Betsy Delgado
Contact Information
Office (909) 820-7933
Fax (909) 421-7697
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