Medical Forms
Please see the following specific requirements for students
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
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
Preschool/Headstart
Kindergarten Requirements:
Vision Form
Dental Form
Preschool Physical
Headstart Physical
Kindergarten Physical
Kindergarten Requirements:
Vision Form
Dental Form
Preschool Physical
Headstart Physical
Kindergarten Physical
Third Grade Requirements:
Vision Form - To be completed for all third graders
Vision Form - To be completed for all third graders
Seventh Grade Requirements:
Immunization updates -
Requires Meningococcal and Tdap booster before school starts!!
See Iowa Department of Public Health for more information
Immunization updates -
Requires Meningococcal and Tdap booster before school starts!!
See Iowa Department of Public Health for more information
Ninth Grade Requirements:
Dental Screening Form - Required for all 9th graders
Dental Screening Form - Required for all 9th graders
Twelfth Grade Requirements:
Immunization updates -
Requires Meningococcal booster before school starts!
See Iowa Department of Public Health for more information
Immunization updates -
Requires Meningococcal booster before school starts!
See Iowa Department of Public Health for more information
