STUDENT FORMS
The following required forms must be completed for all incoming school students – both new and returning. It is important that the school has up-to-date information about all students, including information regarding medications, allergies, emergency contacts, etc. All forms should be completed for each child no later than the first day of school and updated as changes occur throughout the year.
Parents should use their preassigned PIN number (sent in the mail) to indicate they are authorized to submit information regarding their child. If you misplace your PIN at any time during the school year, please call the school office and we will retrieve it for you.
Forms for the 2021-2022 school year will be posted in August. Please check back soon!
Medical Forms
Miriam School requires children submit a physical examination form and an immunization record upon enrollment and every three years thereafter. A physician’s statement should be completed for new students and when there is a change in a child’s medical diagnosis. If your physician’s office prefers to use their own physical and immunizations forms, we will accept them.
- Physicians Statement (required for new students and for students with changes of a medical diagnosis)
- Immunization Record (required for new students or every three years for returning students)
- Medical Exam Record (required for new students or every three years for returning students)
- Asthma Action Plan
- Seizure Action Plan
- Food Allergy Action Plan
