Health Services

Parent Forms

• Allergy Action Plan
• Diabetes Care Plan
• Lice Information
• Medication Form for Meds (given at school)
• Medication Form for Overnight or Out-of-State Field Trips
• Seizure Action Plan

Medical Forms for Special Dietary Needs

• Medical Referral Form for Modified School Meal Needs

Staff Forms

• KY School Physical Form
• KY Eye Exam Form
• KY Dental Screening/Exam
• Medication Administration Incident Report
• Medication Count Sheet for meds dropped off
• Notice of Field Trip for School Nurse
• Pill Count Documentation
• Student Medication Logs