The front of 5th Street School on a sunny day.
The front of 5th Street School on a sunny day.


Printable Health Forms


School Medical Policies


Communicable Diseases


Health Care Action Plan

Chicken Pox

Physical Examination Record





Non Prescription Medication Permission

State Immunization Chart - Two Year Projections

Conjunctivities (Pink/Red Eye)


Prescription Medication Permission

Should Your Child Stay Home?

Fifth Disease

CHIRP Immunization Form

Administration of Medicine



Medication Pickup and Disposal




Indiana State Law requires a hearing screening for all first grade students. 

Vision Screenings are state required on all kindergarten OR first grade students. Fifth Street School will do a vision screening on all kindergarten students only. 

If you have any questions or concerns about your child's vision or hearing,
please call the school at 482-1406.