Health Forms
Common Medical Forms (available at your school):
Allergy/ Anaphylaxis Emergency Care Plan
Authorization to Administer Medication at School
Asthma Care Plan
Contract to Self Carry Emergency Medications at School
Diabetes Care Plan/ Orders for Student with Diabetes
Diabetes with Pump Care Plan/ Orders for Student with Diabetes on a Pump
Expired Medication Policy
Medication Policy Letter
Request for Release or Secure Confidential Information (ROI)
School-Based Health Center Consent for Treatment
Seizure Action Plan (SAP)
Health Information Sheet
Every student needs to have a completed Health Information Sheet on file with their school health office, updated yearly. This form can be completed during the annual online registration (OLR) process, or hard copies are available at your school's front office. Downloadable copies are available below and accessible copies are available upon request.
Immunization Information