Immunization Information & Medication Forms

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. Review Immunization Requirements for School Entry (PDF).

Also there are new requirements for vaccines for 7th and 12th grade students.

Immunization Information for 7th- & 12th-Graders in Hampshire County Schools

Parents, this is a reminder. State law and West Virginia Board of Education require all 6th- and 11th-graders to receive vaccine updates prior to entering 7th and 12th grade.

All students entering the 7th and 12th grades must show proof of these vaccines prior to the first day of school in August 2021

View the 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.  For more information, call the Health Dept. at 304-496-9640.

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

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.