Medical Forms

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 medication at school

Release of Information Form - Signed by parent giving permission for school staff to exchange information with medical provider to meet medical needs at schools.  (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