Health Forms
Please utilize the forms provided by our district. Forms from other districts will not be accepted.
Click on the titles of the forms.
SCHOOL ENTRY FORMS
- Pediatric Tuberculosis (TB) Risk Assessment for all new enrollment in TK-12 in a Los Angeles County school district. Effective 2/1/26.
STUDENT MEDICAL CLEARANCE REQUIREMENTS
To ensure your student’s safety and proper care, please follow these guidelines if your child is returning to school following a medical incident. A written release from a California licensed medical provider is mandatory before a student can return to campus if they:
- Visited an Emergency Room or Urgent Care for any reason.
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Were admitted to a hospital.
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Suffered a serious injury or illness, including fractures, concussions, or Traumatic Brain Injuries (TBI).
Use this form or make sure the medical release provides all the information:
STUDENT MEDICATION REQUIREMENTS
If your child takes medication on a regular basis (even if it's only at home), you must notify the school nurse or office staff. If a student requires prescription medication during school hours, California law (EC-49423) requires the following three items to be updated annually:
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Doctor’s Authorization: A written note from a CA-licensed provider detailing the method, amount, and schedule.
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Parental Request: A written statement asking the District to assist your child with their medication. See form below.
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Pharmacy Label: Medication must be in its original container, clearly labeled with the student’s name, medication name, dosage, and frequency.
OTHER FORMS
- ALLERGIES:
- ASTHMA:
- DIABETES:
Diabetic Individualized Health Care Plan (SAMPLE) You may submit your doctor's orders.