Health Forms

Health Forms

Below are forms and documents for health / medical information in PDF format. If you have any questions about these forms, please contact the Health Assistant at your child's school.

Absent Parent Form - for parents going out of town and leaving their children in the care of another adult
History and Physical Examination - for kindergarten registration
Medication Administration Procedure
Medication Authorization - for all medications administered in school, prescription and over-the-counter
No Shots, No School Initiative - for Kindergarten, 7th Grade & New Student registration
Pupil Immunization Record - for registration, includes Immunization Record and Conscientious Objector Forms
Health Information - Information form for all buildings
Minnesota Immunization Requirements
Food Allergies Intolerances 
Annual Student Health Information Intake