School Entry Health Requirements
SCHOOL ENTRY PHYSICAL EXAM NO LONGER REQUIRED:
Effective July 1, 2024, the Child Health and Disability Prevention (CHDP) Program was discontinued. After this date, it is no longer required for school-aged children to have a physical exam before enrolling. Therefore, the Report of Health Examination for School Entry (PM 171 A) and the Waiver of Health Examination for School Entry (PM 171B) are no longer required forms.
Please see the attached letter for additional information: CHDP Joint Letter from the California Department of Education and California Department of Health Care Services
For information regarding changes to the school entry health requirements, please contact your school district.
ORAL
HEALTH ASSESSMENT - REQUIRED:
All children entering public school for the first time (at either transitional kindergarten, kindergarten, or first grade) must have an oral health assessment performed by a California licensed dentist or registered dental hygienist within 12 months prior to or by May 31 of the child's first year in public school.
-
Kindergarten Oral Health Assessment (KOHA) Form: This form is
to be used to document the Oral Health Assessment and should be
returned to the child's school.
- KOHA Assessment (ENGLISH)
-
KOHA
Assessment (SPANISH)
- To access other languages of the KOHA Assessment form, visit: California Oral Health Technical Assistance Center - KOHA Forms
- Order Oral Health Assessment forms online.
- If requested, KOHA waivers can be found
here:
- Waiver of KOHA Requirement (ENGLISH)
-
Waiver
of KOHA Requirement (SPANISH)
- To access other languages of the Waiver of KOHA Requirement form, visit: California Oral Health Technical Assistance Center - KOHA Forms
- KOHA Resource Guide (Rev. May 2025): Provides information for school staff about the Oral Health Assessment requirement and procedures.
- KOHA School Data Entry Tool (Rev. 2024): This tool will assist in compiling student-level data.
- KOHA District Summary Tool (Rev. 2024): This tool will assist in compiling school-level data.
For questions, contact Nidia Croce at 619-692-8858, or nidia.croce@sdcounty.ca.gov.
Additional Resources and Links
Webpage last updated 12/2/25
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