School Nurse
Dear Antilles Parents and Guardians,
Welcome to another year at Antilles School! As part of the enrollment process and in accordance with the USVI Department of Health and Department of Human Services requirements, we are required to collect updated health forms for each student.
IMPORTANT DEADLINES AND NOTES:
- All students are required to have an annual physical exam in order to be enrolled in school. Physical exams must be completed after June 7, 2025 and on or before August 19, 2025 to be valid for the 2025–2026 school year.
- For returning students whose last physical was completed after the start of the school year, new physicals are due two weeks after the previous one expires.
- Emergency forms and immunization records are due by August 19, 2025 regardless of physical exam status.
- If your child’s physical is delayed, immunizations must still be submitted by August 19. The Department of Health, East End Medical Clinic, Walgreens, and most pediatricians offer immunizations without requiring a full doctor’s visit.
- If student medical packets are not submitted by the end of September 2025, your students will not be allowed to attend school until compliance with all health records in the packet is met.
REQUIRED HEALTH FORMS FOR 2025-2026
Forms must be printed; physicians do not supply school-specific versions.
Yellow Immunization Record: A current Virgin Islands immunization record showing all required vaccines must be submitted each new school year. Students will not be allowed to start school without this. Immunizations must follow the recommended schedule and age range—no exceptions. All immunizations are due at the first available age on the range chart.
*For example, if the chart indicates ages 4 to 6, the required immunizations must be administered by age 4—not at age 5 or 6. Any delay must be accompanied by a note from the doctor explaining the reason.
Universal Child Health Record Form: (TLC to Kindergarten) To be filled out and signed by parent and physician. Parent completes Section 1; Physician completes Section 2.
Health Certification Form: (Grades 1 to 12) Used for physical exam (Only the 2025/2026 Antilles Health Certification form will be accepted)
Virgin Islands Immunization Registry Systems Form: Required for Grades K, 7 & 12, and all new students.
Clearance Slip (New Students Only): Obtain this from the VI Department of Health (across from Nisky Center) or East End Medical Clinic (TuTu Park Mall). Parent and child must present a photo ID, birth certificate, and immunization record. The Clearance Slip and a copy of the yellow immunization record must be submitted.
Athletics & After-School Activities Medical Certification Form: Must be completed and signed by both physician and parent if your child will participate in sports or listed extracurriculars. *Physical must be dated after June 7.
Prescription Medication Release Form: Required only if your child needs to take prescription medication (including EpiPens or inhalers) at school. Must be completed by a physician. Students in Grades 4–12 may carry their own EpiPens/inhalers with proper documentation. A new form is required to be filled out by your physician for any illness developed during the school year that requires prescription medications to be dispensed by the school nurse during school hours.
Edye Ciaccia
nurse@antilles.vi
340-776-1600 x4603
Nurse Documents
All students are required to have an annual physical exam to be enrolled in school. To be valid for the 2025–2026 school year, physicals must be completed after June 7, 2025, and on or before August 19, 2025.
For returning students whose last physical was completed after the start of the previous school year, a new physical is due two weeks after the previous one expires.
Emergency forms and updated immunization records are due by August 19, 2025, regardless of the physical exam date.
Please note:
-
All forms must be printed. Physicians do not supply school-specific versions.
-
If your child’s physical is delayed, immunization records must still be submitted by August 19. The Department of Health, East End Medical Clinic, Walgreens, and most pediatricians administer immunizations without requiring a full doctor’s visit.
-
If the complete medical packet is not submitted by the end of September 2025, your child will not be permitted to attend school until all required health documentation is received and verified.
Completed forms and immunization cards should be emailed directly to the nurse at nurse@antilles.vi.