• Medical Forms 
     
    *The following forms are important for meeting student medical needs at school.  
     
    Physician Input Form - Completed by doctor in order to address student medical needs at school.
     
    Medication Permission Form - Completed by doctor and signed by parent in order to take prescription medication at school.
     
    Release of Information Form- Signed by parent giving permission to for school staff to exchange information with medical provider to meet medical needs at school.  Often used in health care planning. (Note Valley Pediatric Patients will need to complete the Valley Pediatric Exchange Form at their office)
     
    Food Allergy Action Plan - Completed by doctor and signed by parent to aid students with food allergies.
     
    Asthma Action Plan - Completed by doctor and signed by parent to aid students with asthma.
     
    Seizure Action Plan - Completed by doctor and signed by parent to aid students with seizures.
     
Last Modified on July 18, 2019