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Immunization and Student Medical Treatment Authorization 2021-22

In accordance with New Mexico State Law, we require that an updated immunization record for each student be on file in order for that student to attend Rio Grande School. Your child cannot come to school if the immunization record is not up-to-date. This means we have to receive it in time to process it before the first day of school.

Please send us this information as soon as possible, so that our school records can be updated in advance of the beginning of the school year. You may have your doctor provide your child’s immunization record, or you may copy your child’s immunization card and provide it to us. You can fax it to us at 505-986-0012.

Alternatively, if you do not follow the required New Mexico schedule of vaccines, you need to complete a Certificate of Exemption form, have it notarized, and get approval from the New Mexico State Department of Health. You can download the form from the Department of Health website at https://www.nmhealth.org/publication/view/form/454/  Please provide a copy of the approval to RGS. 

For all students, new immunization records must be submitted every year. *
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Please upload a copy of your child's immunization records or DOT medical exemption form here.
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or drag it here.

Rio Grande School Student Medical Treatment Authorization.  Please complete this form for each student in your household who attends RGS.  Parents are responsible for updating information as changes occur during the year. 

Students Gender*
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Student's Grade (beginning in fall of 2021)*
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In case of an emergency, provide the following information for the student's physician or medical facility: 

Address of physician/facility: 

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Authorization for Medical Treatment:

I hereby authorize the Head of School, or another responsible agent of the Rio Grande School, to authorize a licensed physician to administer to my child (ward) such medical treatment as said physician may deem necessary or advisable for my child’s (ward’s) present or future health, if it is impossible to contact a parent or legal guardian.

I give my permission for Emergency Medical transportation. I agree to pay all necessary and responsible costs of medical treatment, transportation, and hospitalization. I also waive and release the person designated above and the Rio Grande School of any loss, claim, or liability that may result from utilization of such action

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