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QHS Meningitis Clinic Information
QHS School Physical Exams Information
Back to School Help Fair:
Save the Date. Next Help Fair 8/1/2026 (Tentative)
Physical Form:
Child Health Exam Form Revised 01 31 2024
SPORTS PHYSICAL FORM (This can’t be used for the school physical)
Dental Forms:
Dental Exam Form 2021 Editsspanish Final
Dental Exam Waiver 2021 Editsspanish Final
Meningococcal Form:
Allergy Policy and Forms:
Guideline For Management Of Children With Life Threatening Allergies Revised 2019
Allergy Medical Management Plan (Action plan plus orders)
Physician Statement For Food Substitution
Girls Talk Outline:
Asthma Forms:
Asthma Medical Management Plan (Action plan and orders)
Parental Authorization Request For Self Administration Of Asthma Inhaler
Seizure Forms:
Seizure Medical Management Plan (Action plan and orders.)
Diabetes:
DIABETES MEDICAL MANAGEMENT PLAN
Informational Forms on Diabetes: (If your child has warning signs, please talk to your Provider. If your child gets diagnosed, please follow up for a treatment plan)
IDPH Information on Diabetes:
Understanding Type1 Diabetes Parents Guardians
Understanding-Type1-Diabetes-Parents-Guardians-Spanish
Other information on Diabetes:
English-understandingtype1diabetes
English-NDM24-English_Flyer_FINAL
Spanish-NDM24-Spanish-Flyer-Design_FINAL
Medication Forms: (For Seizure, asthma, diabetes, and allergy orders, please refer to those sections located above.)
Authorization and Permission for Administration of Medication 2023
AUTHORIZATION AND PERMISSION FOR SPECIALIZED MEDICAL TREATMENT
Medication Administration Guidelines
Diabetes:
DIABETES MEDICAL MANAGEMENT PLAN
Eye Exam Forms:
Other Forms:
Adams County Health Department
Facts about Meningococcal Disease
