Student Health Forms

It is important that when a student has a chronic or potentially life-threatening condition (such as asthma, severe allergies, diabetes or seizures), that the parents, physicians, and the school nurse collaborate to create a plan to meet the student's specific health needs.  Your child will need a completed form submitted to the school nurse at the beginning of each school year.

This health information will be shared with appropriate school personnel, as needed, with due respect to confidentiality.  For your convenience, the forms are available below:


Food Allergy and Anaphylaxis Action Plan

Asthma Action Plan for Home and School

Seizure Action Plan

Special Diet Statement for a participant WITHOUT a Disability
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