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Downloadable Forms

Kindergarten Medical Examination Record PDF
Health Assessment Form PDF
Athletic Participation Required Forms PDF
Certificate of Dental Screening PDF
Certificate of Immunization PDF
Request for Medication to be Given at School PDF
Diet Modification Request PDF
Authorization-Asthma or Airway Constricting Medication Self-Administration – Consent Form PDF
Wellness (Health) Curriculum Student Exclusion PDF

Middle and High School Students Only

School Nurse Administration of Acetaminophen (i.e. Tylenol) and Ibuprofen (i.e. Motrin) PDF
Iowa Youth Survey Refusal of Consent PDF