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Health Services Forms

Medication & Medical Procedure

All medications on campus must have a signed copy of the Medication at School Authorization form in addition to any other specific health condition forms.

*Indicates the form must be completed and signed by a healthcare provider

* Medication at School Authorization- English l Español

* Asthma Action Plan - English l Español

* Diabetes - Diabetes Medical Management Plan

* Food Allergies/Anaphylaxis- English l Español

* Seizures/School Seizure Action Plan - English l Español

* Specialized Procedure-Feeding Tube- Management of a Feeding Tube

* Specialized Procedure-Catheterization-Management of a Catheter

If your student has a chronic health condition not on this list and needs specialized care at school, please contact your site's School Nurse for further guidance on required documentation. 

Returning to School After Injury

Concussion- Concussion Return to Learn

* Activity Restrictions Form

Dietary Restrictions

Request for Special Meals and/or Accommodations

Release of Records

Authorization for Disclosure of Medical or Educational Information

TB Risk Assessment-Enrollment Requirement

* New Student Entry-TB Risk Assessment

Elementary School

* Oral Health English l Español

 

Middle/High School

Secondary Level Over-the-Counter Medication Authorization

Type 2 Diabetes Prevention 7th Grade Type 2 Diabetes Letter

HPV Prevention Letter HPV Information Letter

Parent Volunteers

 TB Risk Assessment