Enrollment Documentation
Welcome New Fillmore Unified School District Students
Below you will find the required documentation for all students in Fillmore Unified School District. Please have all documentation prepared ahead of time. Families will be notified about their scheduled day and time to submit the original copies of these documents in July.
Digital Forms to Complete:
1) New Enrollee Digital Registration: http://sis.fillmoreusd.org/preenrollment/
2) Free / Reduced Eligibility for School Year: https://sis.fillmoreusd.org/fsonline/Main/Login
Documents to Gather:
3) Verification of Student Date of Birth: Original Birth Certificate, Passport, Certified Hospital Birth Record, or duly attested Baptismal Record.
4) Immunization Records
Students Admitted at TK/K-12 Need:
- Diphtheria, Tetanus, and Pertussis (DTaP, DTP, Tdap, or Td) — 5 doses
(4 doses OK if one was given on or after 4th birthday. 3 doses OK if one was given on or after 7th birthday.)
For 7th graders, at least 1 dose of pertussis-containing vaccine is required on or after 7th birthday. - Polio (OPV or IPV) — 4 doses
(3 doses OK if one was given on or after 4th birthday) - Hepatitis B — 3 doses
(not required for 7th grade entry) - Measles, Mumps, and Rubella (MMR) — 2 doses
(Both given on or after 1st birthday) - Varicella (Chickenpox) — 2 doses
4) Dental Examination / Oral Health Assessment (Download the Form Below)
6) Health Examination: Note, Health examination should be dated no longer than 6 months prior to the first day of school.
7) Physical Examination (CHDP): (Download the Form Below) Required for students enrolling only in the TK, K, and 1st grade.
8) Proof of Residency (ONE of the following is required): Document must be dated within 30 day- Gas, Water, Electric, Telephone, rent receipt or a lease agreement. Bill must have parent’s name and date on the document. If unable to provide proof of residence, ask for an Affidavit of residence and return with a proof of address of person who signed the affidavit.
Dr. Hakansson 533 Sespe Ave., Suite C Fillmore, CA 93015 524-2749 Scheduling appointments for physicals and immunizations |
Sespe Medical 427 Central Ave. Fillmore, CA 93015 524-2559 Scheduling appointments for physicals only. Not scheduling appointments for vaccinations |
Santa Paula West Medical Group 254 W. Harvard Blvd, Suite B Santa Paula, CA 93060 229-0200 Scheduling appointments for physicals and immunizations |
Santa Paula West Pediatrics 254 W. Harvard Blvd, Suite D Santa Paula, CA 93060 229-0200 Scheduling appointments for physicals and immunizations |
CMH – Centers for Family Health 852 W. Ventura St. Fillmore, CA 93015 524-2672 Scheduling appointments for physicals and immunizations |
CMH - Centers of Family Health 242 E. Harvard Blvd., Suite C Santa Paula, CA 93040 525-9595 Scheduling appointments for physicals and immunizations |
Fillmore Family Medical Group 828 W. Ventura St., Suite 100 Fillmore, CA 93015 524-2000 Scheduling appointments for physicals and immunizations if it is a requirement for school |
Clinicas Del Camino Real Fillmore 355 Central Ave Fillmore, CA 93004 524-4926 Scheduling appointments for physicals and immunizations
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Clinicas Del Camino Real Santa Paula 500 E. Main St. Santa Paula, CA 93060 933-0895 Scheduling appointments for physicals and immunizations
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