Important Health Forms File Type View File Download File
School Health Form
Please update and return to Health Office at least yearly.
.pdf
Medication Authorization Form
Please complete a NEW Medication Authorization Form each school year and when starting a new medication that will be given at school. You need to have a form for any type of medication including Over-the-counter and prescription.
.docx N/A
Student Immunization Form
Submit prior to Kindergarten, 7th grade and with any new vaccinations. All new students need to submit this form.
.pdf
Are Your Kids Ready?
vaccination schedule MDH updated 4/2017
.pdf
Childrens Dental Service Consent Form
ONLY complete a form if you would like your child seen by Childrens Dental Services (CDS). This program is geared for all ages of our students that don't have regular access to a dentist, no current dentist, have Medical Assistance or other State Aid, but ALL are welcome. Please read more about CDS or call the Health Office with any questions.
.pdf
Authorization for Release
Consent to exchange health information
.pdf
Fluoride Form K - 6
Parental permission to participate in fluoride mouth rinse program.
.pdf
Asthma Emergency Care Plan
Asthma Emergency Care Plan is needed for students that have asthma.
.pdf
Asthma Action Plan
Asthma action plan needed at school if student has inhaler in health office or carries.
.pdf
Open Door Health Center
.pdf