School Health Forms for Parents
Medication Forms
At the beginning of the school year
Provide the school nurse with documentation of your child's up-to-date
immunizations. The documentation must include the month, day, and year of the immunization.
During the school year
Please keep your child's Emergency Card information up-to-date
(contact phone numbers, allergies, name of doctor, etc.).
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.
- Medication - Memo to Parents Feb. 2010 - English / Spanish
 (35 KB)
- Medication Request Form 2011-2012 English / Spanish (192 KB)
- A separate form is required for each medication.
- Una forma separada se requiere para cada medicación.
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 school 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.
- Consent to Communicate with Health Care Professional - (English / Spanish) (101 KB)
Action Plans for Medical Conditions (Asthma, Allergy, Diabetes, Seizures)
Asthma
Anaphylaxis - Severe Allergy
Diabetes
Seizure Disorder
Solu-Cortef Action Plan
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(17 KB)