Overview

Medication Policy

Immunization Info

Food Allergies

Medical and Exemption Forms

Link to ACPS Main Page

School Health Services Learning Modules

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 a doctor and signed by a parent in order to take medication at school

Release of Information Form - Signed by parent granting permission for school staff to exchange information with a 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 a doctor and signed by a parent to aid students with Food Allergies. 

Asthma Action Plan - Completed by a doctor and signed by a parent to aid students with asthma

Seizure Action Plan - Completed by a doctor and signed by a parent to aid students with seizures

Certificate of Religious Exemption - Signed and notarized certificate affirming the administration of immunizing agents conflicts with the student's/my religious tenets or practices.

Medical Exemption Form - A signed certification from a licensed physician or local health department that one or more of the required immunizations may be detrimental to the student’s health.