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Back-to-School Forms · 2026–2027

Health Assessment

The Annual Physical / General Health Appraisal Form for the 2026–2027 school year. You can complete the parent section online here; the health-care-provider section is completed by your child’s physician after a check-up.

Fields marked are required.

Two parts to this form. You complete the parent section below. The Health Care Provider section must be completed by your child’s physician after a check-up and emailed to connect@tlgreeley.com or brought to the office. A record of the child’s last check-up must be updated annually.

Child

Allergies

Parent authorization

Signing today records your authorization with today’s date. This authorization expires 365 days after the signature date.

The Lutheran Church—Missouri SynodTrinity Lutheran Church is a congregation of the Lutheran Church—Missouri Synod.