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Health Forms

Authorizations/Releases/Consent forms

  • If your student will need to take medication while at school, please complete the Medication Authorization Form
  • If your student has a chronic health condition, like life-threatening allergies, asthma, diabetes, and/or seizures, please complete the Chronic Condition Action Plan Authorization Form
    • Contact your health care provider to obtain a copy of your child's anaphylaxis, asthma, diabetes, and/or seizure action plan
    • Provide a copy to the health office at your child's school along with the signed authorization form
  • If your student will need a special procedure completed at school (eg. tube feeding, catheterization), please complete the Special Procedures Authorization Form
  • If you would like staff at your student's school to communicate with or receive health records from another healthcare provider, please complete the Prior Consent to Release Private Data
  • Sports Physicals questions and forms should be directed to your student's school athletic director.

Health Office Contacts