Forms

QPS Yearly Immunization Survey:

District Survey

Covid Information:

Parent Letter About Testing

COVID Testing Consent Form

Pandemic Sick Day

Kindergarten Round up forms (Click on link):

Kindergarten Round-up Letter 2021

Kindergarten Camp 2021-2022

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

Other Forms:

QPS Dexcom Authorization Letter

SIU Flyer

Facts about Meningococcal Disease

Meningococcal Vaccine Form

Flu Guide For Parents Brochure

IDPH Disease Guide

ASTHMA ACTION PLAN

ASTHMA QUESTIONNAIRE

AUTHORIZATION FOR DIASTAT

AUTHORIZATION AND PERMISSION FOR ADMINISTRATION OF MEDICATION 

AUTHORIZATION AND PERMISSION FOR SPECIALIZED MEDICAL TREATMENT 

Child Health Exam

Dentalexamform2019

Dentalexamwaiverform2019

Spanish Dentalexamform2019

Spanish Dentalwaiverform2019

DIABETES MEDICAL MANAGEMENT PLAN 

EYE EXAM FORM

EYE EXAM WAIVER

LEAD QUESTIONNAIRE

Parental Authorization Request For Self Administration Of Asthma Inhaler

RELEASE OF CONFIDENTIAL INFORMATION FORM

SEIZURE ACTION PLAN

SEIZURE QUESTIONNAIRE

SPORTS PHYSICAL FORM