Forms

Back to School Help Fair Flyer:

Back To School Flyer 2022

Covid Information:

Parent Letter About Testing

COVID Testing Consent Form

Sick Day Guidelines

Kindergarten Round up forms (Click on link)

KDG Camp Flyer 22 23 Updated

Meningococcal Form:

ACHD Consent Meningococcal

Wellness Express Forms:

ACHD School Consent 7.12.18

SIU Consent Required For All Physicals

Directions For Filling Out IDPH Forms For Wellness Express

Allergy Policy and Forms updated:

Guideline For Management Of Children With Life Threatening Allergies Revised 2019

Allergy Action Plan Revised 2019

Physician Statement For Food Substitution

Girls Talk Outline:

Girls Talk Outline

Asthma Forms:

ASTHMA ACTION PLAN

ASTHMA QUESTIONNAIRE

Parental Authorization Request For Self Administration Of Asthma Inhaler

Medication Forms:

AUTHORIZATION FOR DIASTAT

AUTHORIZATION AND PERMISSION FOR ADMINISTRATION OF MEDICATION 

AUTHORIZATION AND PERMISSION FOR SPECIALIZED MEDICAL TREATMENT 

Parental Authorization Request For Self Administration Of Asthma Inhaler

Physical Form:

Child Health Exam

Forms Owh Child Health Exam Spanish 042916

SPORTS PHYSICAL FORM  (This can’t be used for the school physical)

 

Dental Forms:

Dental Exam Form 2022

Dental Exam Form 2021 Editsspanish Final

Dental Exam Waiver 2021 Editsspanish Final

Dental Exam Waiver 2021

Diabetic Forms:

DIABETES MEDICAL MANAGEMENT PLAN 

QPS Dexcom Authorization Letter

Eye Exam Forms:

EYE EXAM FORM

EYE EXAM WAIVER

LEAD QUESTIONNAIRE

Seizure Forms:

SEIZURE ACTION PLAN

SEIZURE QUESTIONNAIRE

Other Forms:

RELEASE OF CONFIDENTIAL INFORMATION FORM

SIU Flyer

Facts about Meningococcal Disease

Meningococcal Vaccine Form

Flu Guide For Parents Brochure

IDPH Disease Guide

Religious Exempt Form