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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 
 
 
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.
  • Were admitted to a hospital.

  • 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:
  1. Doctor’s Authorization: A written note from a CA-licensed provider detailing the method, amount, and schedule.

  2. Parental Request: A written statement asking the District to assist your child with their medication. See form below.

  3. Pharmacy Label: Medication must be in its original container, clearly labeled with the student’s name, medication name, dosage, and frequency.