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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.pdfAuthorization for Medication Administration
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.pdfAuthorization for Medication Administration (ES)
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.pdfAuthorization for Release of Information
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.pdfAuthorization for Release of Information (ES)
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.pdfCommunicable Disease Management Plan (SES)
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.pdfCommunicable Disease Management Plan (SMS)
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.pdfCommunicable Disease Management Plan (SHS)
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.pdfContract - Inhaler
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.pdfContract - Self Medication (SHS)
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.pdfHealth Concerns Form
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.pdfHealth Concerns Form (ES)
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.pdfImmunization & Exemption Rate Report (SES)
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.pdfImmunization & Exemption Rate Report (SMS)
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.pdfImmunization & Exemption Rate Report (SHS)
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.pdfImmunizations Requirements
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.pdfImmunizations Requirements (ES)
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.pdfMedication Administration Manual
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.pdfMedication Information
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.pdfOregon Certificate of Immunization Status
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.pdfOregon School Nurse Infographic
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.pdfProtocol - Asthma (ES)
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.pdfProtocol - Chronic Condition
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.pdfProtocol - Chronic Condition (ES)
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.pdfProtocol - Seizure
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.pdfProtocol - Seizure (ES)
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.pdfProtocol - Severe Allergic Reaction
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.pdfProtocol - Severe Allergic Reaction (ES)
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.pdfStudent History Form - Asthma
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.pdfStudent History Form - Asthma (ES)
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.pdfStudent History Form - Seizure
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.pdfStudent History Form - Seizure (ES)
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.pdfStudent History Form - Severe Allergic Reaction
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.pdfStudent History Form - Severe Allergic Reaction (ES)
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.pdfStudent History Form - Type 1 Diabetes
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.pdfStudent History Form - Type 1 Diabetes (ES)
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.pdfSymptoms-Based Exclusion Chart
