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District Health Forms for Parents

District Health
Anaphylaxis & Food Allergy
Asthma Care
Communicable Diseases / Exclusions from School
Current Medical Issues
Diabetes Care
Health Screenings
Immunization Resources in the Community
Health Forms
Medications at School
Weather Guidelines

Click on the topic below to be directed to the forms / information on that topic.

Emergency Forms

Immunization Forms

Medication Forms

Consent to Communicate with Health Care Provider

Action Plans



Emergency Forms:

Please keep your child's Emergency Card information up-to-date (contact phone numbers, allergies, name of doctor, etc.). You can complete a paper copy provided by the school or update the information online through the Parent Portal.


Immunization Forms

At the beginning of the school year provide the school nurse with any updated documentation of your child's immunizations. The documentation must include the month, day, and year of the immunization. This is especially important for new students, and students entering Kindergarten and grade 7.  See the Immunization page for more information.


Medication Forms

Medication - Memo to Parents Feb. 2010 - English / EspañolOpens new window (35 KB)      

At the end of the school year:

If your child's medication is stored at the school clinic, you must pick it up before the last day of school. No unused medication will be sent home with a student and any unused medication will be destroyed at the end of the school year.


Consent to Communicate with Medical Health Care Professional or Health Care Provider

This is a new regulation regarding the consent to contact your child’s health care provider if needed, in order to better provide specific district health related services. In order to begin or continue to provide this service to your child, this consent must be on file. The regulation is provided in the form below. Please sign and return this document to the school nurse, so we can provide continuity of care to your child.   This consent is included in many of the PISD action plans and medication forms so it may not always be required as a separate document.  Consult your campus nurse if you are not sure.

  • Consent to Communicate with Health Care Professional - (English / Español) Opens new window (101 KB)                                       

Action Plans


Anaphylaxis - Severe Allergy


Seizure Disorder

Adrenal Insufficiency - Solu-Cortef Action Plan