Medical Forms
For Children Entering Preschool (Seedlings) and Pre-K (Sprouts)
Preschool students are required to complete a child medical history and child medical statement form.
Child Medical History
Child Medical Statement
Child Medical Record/Immunization
Students Entering Kindergarten
Kindergarten students are required to submit a completed/updated immunization form verifying the child's vaccinations required by the State of Ohio.
Child Medical Record/Immunization
Medication Administration Policy & Forms
Medication Administration Policy
Request for the Administration of Over-the-Counter Medication Form
Physician's Prescribed Medication Request Form
Student Medical Action Plan Forms
Asthma Action Plan
Preschool students are required to complete a child medical history and child medical statement form.
Child Medical History
Child Medical Statement
Child Medical Record/Immunization
Students Entering Kindergarten
Kindergarten students are required to submit a completed/updated immunization form verifying the child's vaccinations required by the State of Ohio.
Child Medical Record/Immunization
7th Grade Immunization Form
Medication Administration Policy & Forms
Medication Administration Policy
Request for the Administration of Over-the-Counter Medication Form
Physician's Prescribed Medication Request Form
Student Medical Action Plan Forms
Asthma Action Plan
Seizure Action Plan
Forms may be emailed to Linda Miyares at admission@birchwoodschool.org or mailed to:
Birchwood School of Hawken
4400 W 140th St
Cleveland OH 44135
Forms may be emailed to Linda Miyares at admission@birchwoodschool.org or mailed to:
Birchwood School of Hawken
4400 W 140th St
Cleveland OH 44135
