Aplington - Parkersburg Community School Health Services
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Medical Forms

Please see the following specific requirements for students
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  Medication/Allergy Forms
  Medication permission form - your child takes any medication at school. 
  Self-Carry inhaler or epi pen - your child carries his/her own inhaler or EPI PEN
  Food Allergy Diet Modification - your child has food allergy? or can not have certain
          foods at school?  Fill out this form  
  Allergy action plan - Any child that has a severe allergy
                                                           needs an action plan filled out yearly by their physician.
                                                  Asthma action plan  - Any child with asthma it is suggested an action plan completed. 
                                                  Seizure action plan  - If your child has a seizure disorder an action
                                                           plan updated yearly is needed. 
                                                
Self-Carry med permission form - high school students if carry own medication

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​  All students in middle school and high school
  that participate in sports require:
  Sports physical 

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  Preschool/Headstart
​  Kindergarten Requirements:

  Vision Form
  Dental Form
 Preschool Physical
 Headstart Physical

 Kindergarten Physical   

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  Third Grade Requirements:
  Vision Form - To be completed for all third graders 

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  Seventh Grade Requirements:
  Immunization updates -
  Requires Meningococcal and Tdap booster before school starts!!
  See Iowa Department of Public Health for more information

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  Ninth Grade Requirements:
  Dental Screening Form  - Required for all 9th graders

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  Twelfth Grade Requirements:
  Immunization updates -
  Requires Meningococcal booster before school starts!
​  See Iowa Department of Public Health for more information

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  • Home
  • Contact
  • Services
  • Forms
  • Back to school
  • Wellness Policy
  • Resources/Announcements