4K and new 5K  Student Health Forms
 All four year-old kindergarten students and those five year-old kindergarten students who are new to WUSD, will need to have the following documents completed.    The actual forms are located at the bottom of this webpage.
  • Health and Developmental History Form- required
  • Immunization Records- required
  • Physical Exam-highly recommended
  • Vision Exam-highly recommended
  • Dental Exam-highly recommended
Contact me at 262-472-8711 if you have questions regarding these forms.

Diana Hoffman, RN, BSN, NCSN

Health and Developmental History-English

Health and Developmental History-Spanish

Immunization Requirements-English

Immunization Requirements-Spanish

Immunization Record- English

Immunization Record- Spanish

Vision Exam Form

Physical Exam Form

Dental Form