Health Topics

School Physical Form

State of Rhode Island School Physical Form

In accordance with the Rules and Regulations for School Health Programs (R16-21-SCHO) this form may be used to document general health examination results including immunizations and lead screening requirements needed for school entry. If this form is utilized it must be accepted by schools.

Download the Rhode Island School Physical Form

or

Phone
1-800-942-7434
8:30am - 4:30pm
Monday - Friday

Fax
401-222-1442
Attention:
Distribution Center

Mail
Distribution Center
Rhode Island Department of Health
3 Capitol Hill
Room 302
Providence, RI 02908