Health Office Information and Forms

Communicable disease information 

Diastat Policy

Allergen Management Policy

Medical Clearance Form



Parent Portal Instructions for Health Packet

For the health and safety your child, health forms are required to be
completed annually. To avoid school exclusion, please have all
requirements submitted to your child’s Campus Health Office by Tuesday 6/4/19

Please note that ALL students are required to submit the following forms:

  • Emergency Contact Form
  • Health History Form
  • Communication permission form

These forms are completed by the parents and do not require a physician’s
signature. Please also submit a copy of your child’s immunization records.

The following forms are to completed only if applicable to your child. These
forms need to be completed and signed by a Physician and signed by

  • Seizure Action Plan
  • Asthma Action Plan
  • Allergy Action Plan
  • G-tube form (for G-tube feeding at school)
  •  Medication Administration forms (only if medications are to be administered at school)

If your child has a Private Duty Nurse, please forward copies of Care Plan and Emergency Action Plans to be kept on file in the Campus Health Office.

Policy Acknowledgement Parent Signature Form

Asthma Action Plan

Communication Permission Form

Emergency Contact Information

Allergy Action Plan

G-Tube Form

Health History Form

Medical Provider Form

Animal Encounter Permission Slip

Seizure Action Plan

Universal Child Health Record

Medication Administration Form

Parent Portal Instructions Health Packet