The Forms you want and need are just a click away!



 
Forms included:
* OTC medication form
* Rx medication form
* Self-Administration medication form 7th-12th graders only
* Self-Administration Emergency medication form 7th-12th graders only
* Fluoride treatment form K-6th graders only
* Dental clinic form Pk-12th grade
* Immunization Waiver Form
* Required Immunization's informational form


 
 
 

 
 
 

 Forms File Type View File Download File
Dental Program
Please fill out the form and return to the school nurse. A minimum of 15 consent forms needs to be collected before the program will come to our school.
For specific program questions please call 612-746-1530
.pdf
Hand Foot & Mouth Disease
.pdf
Emergency Contact and Medical Information Form
.doc
Immunization Waiver Form
.pdf
Required Immunizations
.pdf
Fluoride K-6th
.doc
Self-Administration Emergency Medication 7th-12th
.doc
Self-Administration 7th-12th
.doc
OTC Medication Form
.doc
Rx Medication Form
.docx N/A
Prescription Medication Policy
.docx N/A