Required of all new students entering the district.

All students new to the district must have a physical examinations within 365 days of entry. New students entering grades 6-12 should use this form, as well as any student planning on participating in school sports (see Athletic Dept site for info).

To be completed by the student's physician if medication must be administered during school hours. All medication must be brought by a parent/guardian to the school health office in a labeled pharmacy container.

To be completed by the student’s parent. This gives permission for the nurse to train a delegate to administer medication for an allergic reaction in an emergency situation when the nurse is not available.

To be signed by parent/guardian, acknowledging the school delegates who may administer emergency medication if the school nurse is unavailable.

To be completed by the student's physician if the student has an anaphylactic allergy that requires the administration of epinephrine and/or antihistamine. A self-medication question is included on this form.

To be completed by the student's physician if the student must receive asthma medication during school hours. A self-medication section, to be completed by the physician, is included on this form.

To be completed if the student is to receive acetaminophen and/or ibuprofen as needed from the school nurse during school hours.

For kindergarten and pre-kindergarten students:
If the student is enrolling in a U.S. school for the first time AND was born in a country other than those listed on this form, a Mantoux tuberculin skin test is required.