D.C. Code 38-602 requires a Universal Health Certificate for every child attending DC public, charter and private schools, child care and youth programs, renewed every year. It records the physical exam, vision and hearing screening, health concerns, TB risk, lead testing, immunizations and exemptions. The completed certificate goes to the school or child care facility.
The parent completes Part 1 and signs the release. A licensed health care provider completes Parts 2 to 5: exam and screenings, immunizations, sexual history for grades 9 to 12, and certifications, with signature and office stamp.
Download the current version from the source each time; forms change without notice.
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Every year. The parent acknowledges on the form that it should be completed and returned to the child's school every year, and D.C. Code 38-602 requires it for children in DC public, charter and private schools, child care and youth programs.
Yes. DC Health posts the Certificado Universal de Salud in Spanish, along with Amharic, Chinese, French, Korean and Vietnamese versions. The English edition was revised in July 2025, while the posted Spanish version is an April 2024 edition.
Part 4 applies only to students entering grades 9 to 12. The provider certifies, yes or no, that they completed a sexual health history for the adolescent, in line with the AAP recommendation for confidential time during health maintenance visits.