Health Services Forms
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.
Health Care Plans & 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 Letter Primary Grades
- Allergy Informational Letter Secondary Grades
- Allergy-Anaphylaxis Plan Form
- Allergy-EPI-Pen Contract
- Asthma Contract
- Asthma Emergency Plan
- Asthma Informational Letter Primary Grades
- Asthma Informational Letter Secondary Grades
- Diabetes Contract (Secondary Grades)
- Diabetes Provider Orders
- Food Allergy SOP
- Health Questionaire for a Student with Asthma or Breathing Problems
- Seizure Disorder Plan
- Student Emergency Plan
School health services are meant to augment, not replace annual health care supervision by your child's primary health care provider. Therefore, the district requests that students entering kindergarten, fourth, seventh, and tenth grades have a physical examination. The examination should be performed by the student's family physician and at no cost to the school district. A special form is available from your school, the Administration Building, at most local doctors' offices, or you can get the school physical form below.