The school district uses various forms to track important health information about students in the district. These forms provide information for school nurses that is critical to the safety, health and wellness of all students and staff.

Required forms*
Before the student starts school
These documents must be completed and turned in to the school before the student can attend school:

• Certificate of Immunization
  State law requires this record of the student’s vaccinations.



• Certificado de Estado de Inmunización
  Certificate of Immunization in Spanish

Students with life-threatening allergies or conditions must complete the required forms that are specific to their illness before they can start school. Forms include:

• Allergy Health Care Plan



• Asthma Health Care Plan



• Diabetes Health Care Plan/Independent Diabetes Health Care Plan



• Diabetes Health Care Provider Medication Order Form (For Insulin)



• Authorization for Epinephrine Administration(EpiPen)



• Standard Seizure Plan or Seizure Modification Plan

Upon starting school
These documents need to be turned in when the student begins school:

• Nurse alert form
  The district nurses use the information from the Nurse Alert forms to plan for student’s health care while at school.
• Authorization to Administer Medication
  If your child needs prescription or nonprescription medication during the school day, an Authorization to Administer Medication form must be completed (one form required per medication).

Optional forms

• Authorization for Release of Records/Information
  Allows school nurses to contact student’s health care provider about their care.

*Forms library
All student health forms are also available in the district forms library or at the school office.