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Health Services

Forms

Student Emergency Information

Each year, every parent/guardian must complete an emergency information form. This form provides the Health Office with emergency contact information and alerts us to the healthcare concerns of the student.
Given privacy requirements, it is extremely important that this information be provided to avoid unnecessary delays should an emergency occur.
Form: English (Español)

Sports Physicals

Physical examinations are required prior to sports participation. The examinations should be performed by the student's health care provider (medical home) and documented on forms provided by the school. If the student does not have a medical home, the examination will be provided by the school.
Form

Physical Exams

All students should have a physical examination at least once during high school at their health care provider (medical home) even if they don't participate in the sports program. (This information will be necessary when processing working papers.)
Form

Self-Administered Inhalers

If a student will be using a self-administered inhaler, a permission slip is required. The signature of both parent/guardian and physician is required. School policy requires this permission slip be on file prior to use of medication in school.
Form

Medication

Any medication, including over-the-counter medication, administered in school must be accompanied by a written order from a physicican and parental permissions. Prescribed medication must be in a labeled prescription bottle with specific instructions. Over-the-counter medication must be in the original bottle.
Form: English , Español