COMMONLY USED HEALTH FORMS
These forms are provided for your convenience. Click on the link to download these commonly used forms in the Health Office.
To go to school in Minnesota, students must show they've had the required immunizations or file a legal exemption with the school. To claim an exemption, complete one of the waivers with appropriate signatures on the Pupil Immunization Record. A health care provider must sign medical exemptions. Conscientious exemptions must be signed by th parent/guardian and notarized.
Some students may require medication to be administered during the school day.
- The administration of medication by school personnel to students in school shall be done only with written authorization and direction of a physician for prescription drugs and with written authorization and direction of a parent/guardian for over the counter drugs.
- Prescription medication bottles should include physician's name and pharmacy name.
- All medications, prescription and nonprescription medications must be in their original container.
- Medication that is not FDA approved will not be administered in school.
- It is acceptable for secondary students with asthma to carry inhalers. Elementary students should keep inhalers in the Health Office unless specific written permission to carry the inhaler is received from the physician and the parent/guardian.
- Students are only allowed to take medication in school when it is given to them by the school nurse in the health office.
- Parents are required to fill out a medication form for the school nurse.
- Compliance with the conditions listed above must be renewed each year.
CHRONIC HEALTH CONDITIONS
ILLNESSES AT SCHOOL