Infirmary

Campus Health Center at The Colorado Springs School

Mandatory Medical and Health Information

To comply with State and local regulations, The Colorado Springs School must maintain each student's current health and immunization records. Forms and documents will be accepted starting July 15, 2024 in the Trianon Building Business Office.

School and sports physicals are required to be current for a 12 month period. Students must have a current physical exam form and an immunization certificate on file in the Infirmary. This is required before the first day of school each year to attend classes and participate in sports. Questions reach out to the Infirmary: Campus Health Coordinator Coordinator at (719) 434-3506.

Forms may be submitted in-person or by mail (Attn: Infirmary). Or email, Sent to: Campus Health Coordinator

Mandatory medical and health records can be found below. Using their respective login credentials, guardians are responsible for completing their child's medical paperwork. The following forms will require a physician’s signature:

PreK Students: Annual Physical Exam Form (This form is good for 365 days from the date of the last physical)
- Please read on for information about Required Immunizations for the school year as mandated by Colorado state law, as well as other pertinent information/resources, including: Child Care Immunization Chart & Certificate of Immunizations
- Dedicated to protecting and improving the health and environment of the people of Colorado. Colorado law requires students who attend a licensed childcare, preschool or Head Start program to be vaccinated against many of the diseases vaccines can prevent. Your student must be vaccinated against: diphtheria, tetanus & pertussis (DTaP, DTP), polio (IPV), measles, mumps, rubella (MMR), hepatitis B (HepB) haemophilus influenzae type b (Hib), pneumococcal (PCV), varicella (chickenpox).
- Read more: State of Colorado Child Care/Preschool Immunizations
Kindergarten–12th Grade Students: Physical Exam Form (This form is good for 365 days from the date of the last physical)
Colorado Immunization Certificate

ATHLETICS: CHSSA - 2024-25 REQUIRED MEDICAL FORMS

CSS is a member of CHSSA (Colorado High School Activities Association) and as a member school they require both forms: annual school physical and updated Preparticipation Eligibility Form (PPE). Please review our 2024-25 forms and policies here for eligibility in CSS athletic programs:

CSS will require the PPE Medical Eligibility Form (Page 4).

INSTRUCTIONS Sports Physical /Preparticipation Physical Examination (PPE)
Preparticipation Examination (PPE) Form (Approved Legislative Council 2024)
Preparticipation Examination (PPE) Form - Spanish (Approved Legislative Council 2024)
Student Medical Eligibility Form (Page 4)
Student Medical Eligibility From (Page 4) - Spanish

Optional Medical Forms (as necessary):

If your child needs physician-prescribed medication, the Campus Health Coordinator can coordinate the if administration of that medication during the school day:

Permission to Medicate Form

If your child needs medication to be administered while on a school trip, the Campus Health Center will collect the medication prior to the trip. Please complete the Permission to Medicate on a Trip form:

2024: Updating Student Medical Information

To update and submit the Student Medical forms, Care Plans, and/or Over-the-Counter Medications form on file, please contact the Infirmary at (719) 434-3506. Forms will be accepted after July 15th, 2024 in-person or by mail (attn: Infirmary). Or via Email to Dr. Hocate