Immunization Information & Medication Forms

Health Exam Requirements for Entry into School

New students entering Pre-Kindergarten or Kindergarten need proof of a dental exam and a health check physical exam prior to starting school in August. It is recommended students entering grade 2 and now grade 7 show proof of a dental exam and a health check physical exam prior to school starting in August. 

Immunization Requirements for Students

State law and West Virginia Board of Education also require certain vaccinations for first entry into school and in addition all 6th- and 11th-graders must receive vaccine updates prior to entering 7th and 12th grade.

• Immunization Requirements for School Entry (PDF).
• Immunization Requirements for 7th- and 12th-Graders (PDF).

Health Department Vaccine Offerings

Vaccine updates can be obtained from your child's doctor or from the Health Department. The Hampshire County Health Department located at 16189 Northwestern Pike in Augusta offers immunizations. The Health Department vaccinates every Monday from 8:30am – 3:30pm.  For more information, call the Health Dept. at 304-496-9640.

Medication Forms

• Hampshire High Over-the-Counter Medication Information and Authorization Form (PDF) - Regarding Ibuprofen (Advil), acetaminophen (Tylenol) and antacids (Tums)                Done Editing            
• Medical Information Release Form (FERPA) (PDF) - May be typed, then printed and signed
• Prescription Medication Authorization Form (PDF)
• Prescription Medication Information (PDF)

Chronic Health Condition Statement

Print this Chronic Health Condition Statement (PDF) and have it completed by a physician and faxed to the Attendance Director to alert the district to possible chronic conditions that may impact student attendance.