Back To School Forms

• Confidential Emergency Health Information - English
• Confidential Emergency Health Information - Spanish
  • This form is important because it updates your child's health for the school nurse.  

• Student Insurance Letter - English  or  Student Insurance Letter - Spanish
  • Please print and sign this form indicating you have insurance.
• Summary of Plans Available
• Information / Rates / Enrollment - English
• Information / Rates / Enrollment - Spanish
  
  • If you wish to purchase medical insurance for your student, please complete the above form.

Medication Forms

If any medication is required at school (over-the-counter and prescription), the medication forms must be completed by a licensed health care provider and a parent before the student can return to school. 

Please print, scan or take a picture, and email forms to the nurse: Adrienne Richards

For General Medication: Medication order form 

For Seizure Care: Emergency Seizure Medication Form

For Diabetic Care: Diabetic Physician Order Form  I  Diabetic Physician Order Form with Insulin Pump

Miscellaneous forms:

Scan and email the forms below to the registrar Krista Jordan.

• FERPA District Opt-Out Form
  • Parents who DO NOT want directory information or photographic images released must submit an Opt-Out request in writing to the school office ANNUALLY - by September 15 each year. 

• Withdrawal Form
• Long Term Planned Absence Form
  • For students who will be absent from school for 5 days or more.