Placer County Child Health and Disability Prevention (CHDP) program provides forms and resources to help with the kindergarten and 1st grade registration process.
Additionally, you will also find required health examination forms, school immunization records, and other helpful tools below. All resources are provided free of cost.
Materials can either be downloaded here, or you may place an order with CHDP for printed materials. To place an order for printed materials, complete the Material Order Form and either fax to (530) 886-3606 or email to email@example.com. Please allow 4 weeks for delivery. Materials will be distributed to public schools through PCOE Interoffice Mail, or shipped via USP to private schools.
CHDP School Handbook
Report of Health Examination for School Entry (PM171a 9/07) Required form.
Waiver of Health Examination for School Entry (PM171b 9/07) Required form.
Immunization Handbook (7th Edition July 2003) Contains school law info and materials to help implement
Placer County IZ Program Letter to Parents/IZ Clinic Schedule Espanol
Parent Guide to requirements of the California Immunization Law…. (IMM222 6/02)
Immunization Record California School Blue Card (PM286 1/02) Required form. Only available by order
Immunization Window (IMM-528 4/06) Only available by order
Placer County Medical Provider List
Placer County CHDP Dental Provider List
Placer County CHDP Vision Provider List
Placer County Community Clinics Brochure
California Health Care Programs/CAA ListLife Changes, Big Rewards Flyer
Placer County CHDP Brochure
For question regarding Kindergarten Round Up, contact Cindi Lang at 530-886-3634 or firstname.lastname@example.org.