Medical Forms

Medical Forms

Please click on the links below to view and print the HIPAA and medical forms:

Administering Medication to Students Policy

Allergy - Anaphylaxis Plan

Asthma Action Plan Form

DHS Certificate of Health Examination

HIPAA - Compliant Authorization for Release of Health Information

IHSA Pre-Participation Exam Form 2013-2014

Illinois Eye Examination Report
--Only for first time transfer students from out of state or out of country.

Medication Authorization Form

Documentation of Tdap

For more information about student health policies, please contact the school nurse, Martha Bethel, RN, at [email protected].