Health Office Forms
Health Questionnaires
New to district and kindergarten students please complete the health questionnaire indicated below.
All required forms may also be obtained from the health office during site registration.
Medication Permission
Medication Permission Form (see medications at school page for all medication forms)
Health Care Plans and Related Forms
(only as needed or requested)
A health plan is a plan developed by the school nurse with the assistance of the parent for the management of a student's health concern at school. The following plans are available as fill-in-the-blank forms and can be filled in by the parent, SIGNED, and returned to the school health office for use. Note that the asthma and allergy state plans require a doctor signature to order the emergency medications included in the plans. Return those forms after the doctor has also signed it. The school nurse will contact you if further information or clarification is needed. Other health conditions requiring plans must be written by the school nurse on an individual basis. Please contact the school nurse at your student's school for assistance.
- Allergy Informational Parent Letter Primary Grades
- Allergy Informational Parent Letter Secondary Grades
- Allergy-Anaphylaxis Plan Form
- Allergy-EPI-Pen Contract
- Asthma Contract
- Asthma Emergency Plan
- Asthma Informational Parent Letter
- Diabetes Contract (Secondary Grades)
- Diabetes Orders and Forms
- Health Questionnaire for a Student with Asthma or Breathing Problems
- Seizure Disorder Plan
School Physicals
School health services are meant to augment, not replace, annual health care supervision by your student's primary health care provider. Therefore, the district requests that students entering kindergarten, fourth, seventh, and tenth grades have a physical examination. A physical form is available from your school, on the Thompson School District web site (Health Services Department), and at most local doctors' offices. The examination should be performed by the student's family physician and at no cost to the school district.