Health Services
Page Navigation
- About District Health
- Anaphylaxis & Food Allergy
- Asthma Care
- Backpack Safety
- Communicable Diseases / Exclusions from School
- Diabetes Care
- Frequently Asked Questions
- Head Lice (Pediculosis)
- Health Forms
- Health News & Advisories
- Health Screenings
- Immunizations
- Medications at School
- Nurse Directory
- Return to Learn
- Weather Guidelines
- Plano Independent School District
- Health Forms
-
District Health Forms for Parents
-
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.
- Varicella Exemption by Disease English page 1 | Español página 2
- For students who have had the Chicken Pox disease
- Varicella Exemption by Disease English page 1 | Español página 2
-
Consent to Communicate with Medical Health Care Professional or Health Care Provider
There is a regulation regarding the consent to contact your child’s health care provider, if needed, in order to 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. 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. Please sign and return this document to the school nurse, so we can provide continuity of care to your child. Consult your campus nurse if you are not sure.
-
Medication - Forms
Medication Authorization Form - English
Medication Authorization Form - Español
* A separate form is required for each medication. | Una forma separada se requiere para cada medicación.
-
Asthma Related Forms
- Information Letter for Parents - English | Español
- Required* Asthma Action Plan - English | Español
- Required Medication Request Form English | Español
* Doctor & Parent Must Sign
-
- Information Letter for Parents English | Español
- An Allergy Disclosure form is to be completed at the time of initial registration and will be retained in the student record.
- Required* Anaphylaxis Action Plan - English | Español
- Statement Regarding Meal Substitutions or Modifications*
- Required Medication Request Form English | Español
*Doctor & Parent Must Sign
-
- Information Letter for Parents English | Español
- Required Diabetes Management Plan English | Español * (May be replaced by a similar plan from the physician. Parents must still complete pages 3-5.)
- Insulin Pump Physician Orders * (if applicable)
- Unlicensed Diabetes Care Assistant Consent English | Español * (If not included as part of the physician provided management plan.)
- Required Medication Request Form English | Español
- Continuous Glucose Monitor Use Agreement | Español (coming soon)
*Doctor and Parent must sign.
- Information Letter for Parents English | Español
-
- Information Letter for Parents - English | Español
- Required* Seizure Action Plan **This specific form from the Texas Education Agency is required for seizure management at school. No other forms will be accepted per Senate Bill (SB) 1506, 88th Texas Legislature, 2023.
- Parent Consent for Seizure Management Plan - English | Español
- Required Medication Request Form* English | Español
* Doctor & Parent Must Sign
-
Contact Us District Health Office
1300 19th Street, Building A
Plano, TX 75074
(469) 752-2266
Fax (469) 752-5996
Campus Nurses
Campus Nurse Directory 2024-2025