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 form if your student is to take medication during the school day. A doctor signature is required for prescription medications. ALL medications need to be in the original bottles. A form needs to be in the health office for your 9-12 grade student to self carry over-the-counter medications.
.pdf
Childrens' Dental Service Form
Print, complete, attach insurance card and turn in to Health Office ONLY if you would like to participate in Children's Dental Services this 2018 school year.
.pdf
2018 Flu Shot Forms
Print and turn in the completed form to the school health office as soon as possible.
.pdf
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
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