Health Forms

The following health forms are mandatory before your child’s first day at PBDA. Forms may either be dropped off on your child’s campus or e-mailed/mailed in before the first day of school to the attention of Nurse Angela Hampton on the Lower Campus, or Nurse Carrie Pateman on the Upper Campus.

All forms are required by the Florida Department of Health and will be kept in a secure location.

School Entry Health Exam (DH3040) 

  • Florida physician-issued form stating that your child has had a physical exam by a Florida physician. These forms must be renewed every year.

Florida Certification of Immunization (DH690) 

  • Florida physician-issued form that shows that all immunizations are current.

Birth Certificate 

  • Please provide PBDA with a copy of the original birth certificate. You may also bring the original to be copied by PBDA.