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commonly used forms include

  • Medication consent form: This form is a way for the parent/guardian and health care provider to authorize the school to give medicine to a student during the school day. Authorization is required for any prescription or over the counter medication. This form is also available in Spanish.

  • Medical procedure / Treatment consent form: Parents/guardians requesting specialized health care procedures (such as G-tube fdgs, catheterization, tracheostomy cares) to be administered by school staff are required to provide annual written permission signed by the parent/guardian and the childs health care provider.

  •  Self-Carry consent formThis form can be signed by parents/guardians to allow secondary students to self-carry nonephedrine over-the-counter pain medication such as Tylenol or Advil. See section on taking medication in school for more information. This form is also available in Spanish, Hmong, and Somali.

  •  Annual Health Information Form: Requested yearly of parents/guardians to let health office staff know about health issues that might interfere with learning or which may result in an emergency during the school day. This form is also available in Spanish, Hmong, and Somali.

  • Immunization reporting form: This form can be used to document vaccinations and/or to claim an exemption from the requirements for medical reasons or the conscientiously held beliefs of the parent/guardian. Schools will accept other versions of immunization records, too. For more information on Immunization Requirements, see the section titled, Immunizations Needed for School. This form is also available in Spanish.


  • Physical examination form grades 6-12: Take the appropriate physical exam form with you when your child goes for a check up and return it to the school. Checkups are strongly recommended for students entering kindergarten and 7th grade. Students who want to play sports in middle and high school must have a physical examination on record with the coach before they can play.