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Health Forms

Health Forms

Medication Assistance - Prescription and Nonprescription Medication/Treatment Authorization Form
Students will be assisted with their medications by the School Health Specialist or personnel designated by the building administrator. A “Medication Assistance Form” must be filled out and on file in the clinic for a student to receive any medication at school (including over-the-counter medication such as cough drops, Motrin, etc.) For specific requirements, review both sides of the Medication Assistance Form available by clicking on the hyperlink above, in the school clinic or in the school office.


Immunizations & Physical Examination Form (DO NOT USE THIS FORM FOR ATHLETICS) - Immunizations & Physical Exam


Asthma Action Plan

Diabetic Emergency Action Plan

Food Allergy Action Plan

Insect Allergy Action Plan

Seizure Action Plan

Immunization Summary

Immunization Exemption