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 Physical Forms

Students participating in middle school, high school and/or Minnesota State High School League (MSHSL) Sports are required to have a physical exam on file, completed by a physician, nurse practitioner, or physician's assistant within the last three years. The sports physical form is located on the MSHSL website under health-related documents. Submit the completed form to your child’s school.

For more information on athletics physical examination requirements, contact the office at your child’s school and they will direct you to the appropriate person.