Health/Medication Forms

Please fill out the appropriate care plan for your child and have the physician sign where needed.  Return forms to the school office.  Please note that food allergies require a physician signature when food substitutes are requested.  For any questions regarding care plans or med orders, please contact your school nurse.

All forms are in pdf format. You will need Adobe Reader to view or print these.

• Individual Care Plan
• Seizure Care Plan
• Severe Allergy Form
• Asthma Care Plan
• Confidential Emergency Health Information Form
• Certificate of Immunization Status (English)
• Certificate of Immunization Status (Spanish)

Physician's order form and parental consent required for all meds at school. 

• Physicians Orders
• Diabetic Physician Order Form

 

8001 Silva Ave SE, P.O. Box 400, Snoqualmie, WA 98065 | Phone: (425) 831-8000 | Fax: (425) 831-8040 | District Home | Contact Us