Forms & Documents

• Health Inventory Part I 
• Health Inventory Part II (to be completed by a physician)
• OTC Medication Form
• Immunization Record (if entering PreK, Kindergarten, 6th Grade, and 7th Grade ONLY)

• Medication Administration Authorization Form

 and if it applies

• Asthma Action Plan
• Food Allergy Action Plan
• Diabetic Management Plan

All new students and returning PK, K, 6th, and 7th graders must have an up-to-date vaccination record.

If you have not submitted a current, up-to-date immunization record, please be sure to upload it to SchoolAdmin, even if you are entering a grade where it is not a requirement.

All Kindergarten students must have received two doses of MMR and Varicella vaccines. All students entering the 7th grade must have one dose of Tdap and the Meningococcal Vaccine.

An Over-the-Counter (OTC) medication form is now required for EVERY student to complete. This list of optional, discretionary medications is for occasional use only to alleviate your child’s minor discomforts and avoid early dismissals when possible. The school nurse will dispense all OTC medication based on their clinical assessment. This form must be signed by a physician, and you MUST supply the school nurse with the medication. Families with multiple students in the school may supply one bag of stock medication, but one form must be completed for each student. If you do not want your child to receive medications, you must still complete the form and note that.

Students requiring prescription medication or OTC medications not listed on the OTC form during the school day require a Medication Authorization Form to be completed and signed by both the physician and parent/guardian. No OTC or prescribed medication will be administered to a child without proper documentation on file in the Health Office.

All medications must be supplied to the Health Suite in a labeled mesh zipper pouch, which can be purchased here. Please contact one of the nurses to schedule a time to drop off medications in their original containers. Plan to allow time for reviewing medication receipts and completed forms. Please have all medications ready by the first day of school.