Health Office – Registration Requirements

1) Immunizations (Required)

  • Diphtheria, Tetanus, and Pertussis (DTaP, DTP, Tdap, or Td) — 5 doses
    (4 doses OK if one was given on or after 4th birthday. 3 doses OK if one was given on or after 7th birthday.)
    For 7th-12th graders, at least 1 dose of pertussis-containing vaccine is required on or after 7th birthday.
  • Polio (OPV or IPV) — 4 doses
    (3 doses OK if one was given on or after 4th birthday)
  • Hepatitis B — 3 doses
    (not required for 7th grade entry)
  • Measles, Mumps, and Rubella (MMR) — 2 doses
    (Both given on or after 1st birthday)
  • Varicella (Chickenpox) — 2 doses

If your student has received all immunizations, email proof to:

Aileen Serrano –

If your student is missing any of the immunizations, you may visit your health care provider or the local providers listed HERE

2) Registration Screening Form (Required)

  • The Registration Screening form can be found HERE

3) Sports Clearance Form (Recommended)

It is highly encouraged that you complete THIS FORM and email it to:

Aileen Serrano –

4) San Ysidro Health Office Consent Form (Optional)

If you would like assistance through the San Ysidro Health Clinic, please return THIS FORM to:

Aileen Serrano –

5) Does your student need special health accommodations?

Kathy Nunez, RN Tel (619) 628-3670

Fax (619) 423-8253


What if my Student has a Food Allergy? ●     Meals Accommodation


●     Physician’s Recommendation for Benadryl /Epi-Pen/ other auto-injector

What if my Student requires an Epi-pen @ school? ●     Physician’s Recommendation for Benadryl /Epi-Pen/ other auto-injector:
What if my Student has Asthma? ●     Physician’s Recommendation for an inhaler
What if my Student has Diabetes? ●     School DM Management plan must come directly from the endocrinologist.
What if my Student has a Seizure Disorder?  

Please complete the Parent Questionnaire & return to school Nurse

Please have your Student’s Neurologist complete the Seizure Action Plan

My student requires Diastat Parental Consent to Administer Diastat @ school
What if my student requires a MD ordered Medication at school  

Have your student’s pediatrician complete the Physician’s Recommendation for Medication at School Form and return to nurse.

How do I give Permission for my student to Receive Over the Counter Medications (OTCs) English Over the Counter Form Spanish Over the Counter Form