Health Forms

Each school year, written authorization from a health care provider licensed in California is required for students needing assistance with prescription and/or over-the-counter medications during school. (Ed. Code 49423). Please contact your school nurse with any questions. Please utilize the forms provided by ABC District, forms from other schools/counties will not be accepted.

SCHOOL ENTRY FORMS

Health and Development (TK-12)

Health and Development History K-12

Oral Health Assessment HA (TK/Kindergarten - First Entry)

Oral Health Letter & Oral Health Assessment Form

SCHOOL PARTICIPATION FOLLOWING INJURY/ILLNESS

School Participation Following Injury/Illness

MEDICATION FORM

Assistance with Medications During School Hours

ASTHMA FORM

Independent Management of Asthma

ALLERGY

Authorization for administration of Epinephrine in educational settings and sponsored events

DIABETIC FORMS

Recommended Diabetic Supply List
Diabetic Individualized Health-Care Plan example, you may submit your doctor's orders.

SEIZURE FORMS

Seizure Management in Educational Settings and Sponsored Events