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Forms
Back to School Help Fair Flyer:
Covid Information:
Kindergarten Round up forms (Click on link)
Meningococcal Form:
Wellness Express Forms:
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:
Asthma Forms:
Parental Authorization Request For Self Administration Of Asthma Inhaler
Medication Forms:
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:
Forms Owh Child Health Exam Spanish 042916
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
Diabetic Forms:
DIABETES MEDICAL MANAGEMENT PLAN
QPS Dexcom Authorization Letter
Eye Exam Forms:
Seizure Forms:
Other Forms:
RELEASE OF CONFIDENTIAL INFORMATION FORM
Facts about Meningococcal Disease