Editing previous response:

Please fix the highlighted areas below before submitting.

LPHS Medical Form Upload

Please use this form to upload any of the following medical forms / documents:

An email will be sent to those students who are still missing their annual child health exam and/or required immunizations. Thank you.

More information and the forms can be located HERE.

Parent / Guardian Name*

Answer Required

Parent / Guardian Contact Info

Pleaes provide a way to reach you if we have questions or if something is missing.

Answer Required

Student/s Name/s*

Answer Required

Form/s Upload*

Answer Required

Choose a file or drag it here.

Confirmation Email

Email Required