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Registration Forms

**General Forms**
New to district and kindergarten students please complete the health questionnaire indicated. All required forms may also be obtained from the health office during site registration.
Actualización del Cuestionario de Salud (Grados 1º-12º) Cuestionario de Salud para los estudiantes nuevos en el Distrito (Grados 6º-12º) Cuestionario del Historial de Salud y Evaluación Física Formulario Para Dar Permiso De Administrar Medicamentos Health History and Physical Assessment Questionnaire (Kdg/new to district K-5) Health Questionaire (yearly update grades 1-12) Medication Permission Form Release of Confidential Information Secondary, Long Health Questionnaire (new to district Grades 6-12)
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. The school nurse will contact you if further information or clarification is needed. Other health conditions also have plans but must be written on an individual basis. Please contact the school nurse.
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 Carta Informativa de Alergias para Grados Primarios Carta Informativa de Alergias para Grados Secundarios Carta Informativa de Asma para Grados Primarios Carta Informativa de Asma para Grados Secundarios Contrato de Diabetes Contrato Para Estudiantes Que Traen Inyecciones de Epinefrina Diabetes Contract (Secondary Grades) Diabetes Provider Orders Food Allergy SOP Procedimiento Operativo Estándar (SOP) para las Alergias Alimenticias Health Questionaire for a Student with Asthma or Breathing Problems Immunization Record Missing (Principal Letter) Plan de Cuidado Para Un Estudiante Con Asma O Problemas Respiratorios Seizure Disorder Plan Student Emergency Plan
School Physicals
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.
School Physical Form

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