Students in DC public schools, charter schools, and licensed child care centers must submit this universal health certificate each school year. Parents and guardians work with a licensed health care provider to complete the form before enrollment begins. The certificate ensures that every child's vaccinations and health screenings meet DC Department of Health requirements.
The form documents required immunizations for school enrollment. Vaccines covered include DTaP, MMR, Varicella, Hepatitis B, and Hib. Providers must also record vision screening results, dental screening results, and lead blood testing findings where applicable to the child's age and grade level.
A licensed physician, nurse practitioner, or physician assistant must sign and date the completed form. Without a valid certificate on file, DC schools may exclude a student from attending class within 20 days of enrollment. Contact the school nurse or enrollment office if you need guidance on obtaining or submitting the required health documentation.
Complete and download health certificate forms using FormsPal's free online PDF editor. Fill in the form digitally and print it for your provider's review and signature before the school year begins.
| Question | Answer |
|---|---|
| Form Name | DC Universal Health Certificate Form |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 222 |
| Avg. time to fill out | 22 min 29 sec |
| Other names | district columbia health form, dc health certificate form, dcps universal health certificate, dcps health form |