Health Documents & Forms
Health Documents & Forms
Many student health services require forms to be completed by a parent or guardian and, in some cases, a healthcare provider. These forms help our school nurses understand each student's individual health needs, develop appropriate care plans, administer medications safely, respond to medical emergencies, and ensure students receive the support they need while at school.
On this page, you'll find commonly used health forms and documents related to allergies, asthma, diabetes, seizures, medications, chronic health conditions, immunizations, release of information, and other school health services. Most forms are available in both English and Spanish to better serve our families.
If you're unsure which form your student needs or have questions about completing a document, please contact your School Nurse or Health & Nursing before submitting paperwork.
Have questions? Please contact Health & Nursing for more information or assistance.
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.pdf2026-08-03Authorization for Medication Administration
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.pdf2026-08-03Authorization for Medication Administration (ES)
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.pdf2026-08-03Authorization for Release of Information
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.pdf2026-08-03Authorization for Release of Information (ES)
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.pdf2026-08-04Communicable Disease Management Plan (SES)
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.pdf2026-08-04Communicable Disease Management Plan (SMS)
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.pdf2026-08-04Communicable Disease Management Plan (SHS)
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.pdf2026-08-03Contract - Inhaler
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.pdf2026-08-03Contract - Self Medication (SHS)
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.pdf2026-08-03Health Concerns Form
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.pdf2026-08-03Health Concerns Form (ES)
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.pdf2026-08-04Immunization & Exemption Rate Report (SES)
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.pdf2026-08-04Immunization & Exemption Rate Report (SMS)
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.pdf2026-08-04Immunization & Exemption Rate Report (SHS)
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.pdf2026-08-03Immunizations Requirements
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.pdf2026-08-03Immunizations Requirements (ES)
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.pdf2026-08-03Medication Administration Manual
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.pdf2026-08-03Medication Information
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.pdf2026-08-04Oregon Certificate of Immunization Status
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.pdf2026-08-04Oregon School Nurse Infographic
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.pdf2026-08-03Student History Form - Asthma
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.pdf2026-08-03Student History Form - Asthma (ES)
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.pdf2026-08-06Student History Form - Chronic Condition
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.pdf2026-08-06Student History Form - Chronic Condition (ES)
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.pdf2026-08-03Student History Form - Seizure
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.pdf2026-08-03Student History Form - Seizure (ES)
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.pdf2026-08-03Student History Form - Severe Allergic Reaction
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.pdf2026-08-03Student History Form - Severe Allergic Reaction (ES)
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.pdf2026-08-03Student History Form - Type 1 Diabetes
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.pdf2026-08-03Student History Form - Type 1 Diabetes (ES)
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.pdf2026-08-06Symptoms-Based Exclusion Chart
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.pdf2026-08-06Symptoms-Based Exclusion Chart (ES)
