1330 North Military Highway, Norfolk, VA 23502

Physical Examination Report - Must indicate that the child has received a comprehensive physical examination within twelve months prior to the date the child first enters public kindergarten or elementary school (K-5). A second physical is required before kindergarten if attended pre-school. The school Entrance Health Form, MCH 213F, must be completed by a licensed physician, licensed nurse practitioner, or licensed physician's assistant regarding the child. Health Information Form/Comprehensive Physical Examination Report/Certification of Immunization • Immunization Records - Documented proof of adequate immunization with the prescribed number of doses of each vaccine as required by Virginia law. Minimum Immunization Requirements Supplemental Guidance for School Vaccines Religious Exemption Form • Proof of Birth - Official Birth Certificate (photocopy will not meet this requirement) for non-US citizens only, other substantiating documents are accepted. Proof of Residence - Only 1 item is required from the list below (DMV identification card or driver's license is not an acceptable form of address verification) Current Utility Bill - Power, gas, water or sanitation bill must list the parent(s)/legal guardian(s) name and the address of residence. or Mortgage Statement or Current Lease - must list the name and contact information of the landlord, address of property, date of occupancy or current date, amount of rent paid, renter's name (parent(s)/legal guardian(s), and contact information on company letterhead. (Please contact the school for further assistance, as needed.)

Norfolk, VA