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Health Forms
Medication
ABC Request for Assistance with Medication (English) 4544-HS 03.06
ABC Request for Assistance with Medication (Spanish) 4544- HS 03.16.17
Anaphylaxis Medication - Physician Authorization 04.11
Anaphylaxis Medication Self Carry - Physician Authorization 04.11
Asthma Medication - Physician Authorization 04.11
Asthma Medication Self Carry - Physician Authorization 04.11
Seizure
Seizure - Physician Authorization Anti-Seizure Medication 01.13
Seizure - Physician Authorization Vagus Nerve Stimulator 01.13
Seizure - Physician Authorization Post Seizure Protocol 01.13
Seizure - Parent Request Emergency Medication 12.12
Seizure Action Plan - Epilepsy Foundation (English) 01/20
Seizure Action Plan - Epilepsy Foundation (Spanish) 01/20
School Entry (English)
CDPH Immunization Parent Guide (English) 01.2019
DHCS Health Exam for School Entry (English) 09.2007
CDE Oral Health Assessment (English) 4672-HS 05.29.20
ABC Health & Developmental History K-12 (English) 4500-HS 03.01.21
2020-21 How to Evaluate Student Immunizations
School Entry (Spanish)
CDPH Immunization Parent Guide (Spanish) 01.2019
DHCS Health Exam for School Entry (Spanish) 09.2007
CDE Oral Health Assessment (Spanish) 4672-HS 05.29.20
ABC Health & Development History K-12 (Spanish) 4500-HS 03.01.21
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