GSRP HEALTH REQUIREMENT INSTRUCTIONS
						 
Child:                                                             Parent: _____________________________________

Please read carefully

IMMUNIZATIONS OR IMMUNIZATION WAIVER

______________      Your child’s immunizations are up to date.

________    Your child is due for immunizations; please contact your child’s doctor’s office or local health department to schedule an appointment to bring them up to date.  Free or low cost immunizations are available through your local health department if your child has no health coverage.

________     You indicated at your preschool intake that you will be seeking a 2019 Immunization 
                     Waiver through your local health department, (for personal or religious reasons), or from your child’s doctor, (for health reasons).  Please call for your appointment and send the waiver directly to us in the attached envelope after you receive the document. 

                     WE MUST RECEIVE THIS BEFORE YOUR CHILD CAN START PRESCHOOL.

                     Please Note:  GSRP does not pay for Immunizations.		

PHYSICAL/HEALTH SCREENING

__________        Physical is up to date.  Please drop off enclosed physical form at your doctor’s office for completion.

_________    GSRP Physical required – make an appointment with your child’s physician.  
                  Take your form with you.  Payment will be your responsibility.  A completed physical form must be received within 30 days of your child’s initial attendance.

PLEASE NOTE:  

•	Physicals and Immunizations are requirements from the State of Michigan Department of Human Services Bureau of Children and Adult Licensing-Child Care Centers.  

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