Forms and Guidelines

Health forms needed for schools such as sports physical forms, medication authorization form, registration health forms, emergency information and general guidelines.

Athletic Participation Physical Evaluation Form

The Physical Exam and Medical History form is required for participation in any school athletic programs.

Authorization to Disclose Health Information Form

This form of Authorization to Disclose Health Information allows you the flexibility to determine what types of information are to be released and under what circumstances. In addition, this form complies with the HIPAA (Health Insurance Portability and Accountability Act) Privacy Rules.

Health Screening Exemption Forms

A health screening exemption form is needed for any child who opts out of state-mandated health screenings.

Medication Administration Form

The Medication Authorization form is necessary for any medications that are to be taken at school or during the school day. Forms must be signed by parent. The school must have a form on file for any medication (even over-the-counter) to be at school.

Medication Administration Guidelines

The intent of these guidelines is to assure safe administration of medications for those students who require them. Local school district policies must be established that assure this process.(English) (Spanish)

Medical Questionnaire

This form is to be filled out by the parent or guardian and given to the nurse when a student starts school to provide information regarding the student’s specific medical condition.