Health Services Forms

We accept physical and immunization records that are printed out from the physician’s office. Please make sure there is a statement of health and any physical limitations. If your child’s physician does not provide a printout, feel free to use the appropriate form below.

Get Adobe ReaderThe following forms are provided in .pdf format. The free, Adobe® Reader® software is required to view and print.
Please select the section for your school:


Brentwood / Swasey Central Elementary School


Cooperative Middle School


East Kingston Elementary School


Lincoln Street School


Main Street School


Exeter High School


Kensington Elementary School


Newfields Elementary School


Stratham Memorial School