Student Annual Health Declaration Form | Dibber Hong Kong
top of page

Student Annual Health Declaration Form

The Annual Health Declaration Form is to be completed by all New Students and returned to the School by parents/guardians PRIOR to the student’s start date. In addition, this Form is to be completed annually by all Returning Students and submitted to the School by the parents or guardians PRIOR to the student’s commencement of the relevant academic year

Enrolment Status
Does your child have any allergies?
Has your child had any serious illness, injuries or surgeries such as fractures/dislocations, concussions or been hospitalised in the last 12 months
Does your child have any respiratory issues, e.g. Asthma?
Does your child have any Skin Conditions/Issues e.g. eczema
Does your child have any other medial conditions e.g. ADHD Autism or recurrent illness?
Does your child have any vision issues/condition or wear glasses?
Does your child have any hearing loss/issues?
Does your child have any special dietary requirements e.g. food intolerance, no pork, vegetarian, no beef?
Does your child take any daily medication at home?
Is your child required to take any medication at the School while attending learning activities?
Is there any further health and medical information, not already mentioned above, of which the School or Teacher should be aware for the safety and well-being of your child?
bottom of page