School Forms

Health, Immunization, and Medical Forms

Health and Immunization Form **Required and due within 30 days of enrollment
Non-Medical Exemption Immunization Form– required if personal or religious exemptions
Medical Exemption Immunization Form – required if medical exemptions

Other Medical Forms
The school must have written permission from parents and the child’s doctor in order to administer any over-the-counter or prescription medications to a child. Any medication your child needs to take at school must be brought to the staff in the original container with the pharmacy label, including the child’s name, name of the medicine, date filled, phone number, physician’s name and directions for the exact dosage of the medication. All non-emergency medications are stored in a locked box in the office and may NOT be stored in children’s cubbies. These regulations are in compliance with the nurse practice act.

Asthma Care Plan
Allergy and Anaphylaxis Emergency Care Plan
Special Diet Statement for Food Accommodations 

Seizure Action Plan