All Health Forms

Allergic Anaphylaxis Questionnaire & Emergency Care Plan - N07 (pdf, 147 KB)

Complete if your child has severe allergies.

Asthma Parent Questionnaire and Emergency Care Plan - N05a (pdf, 309 KB)

Asthma Self-Admin Medication Permission - M04 & N05c (pdf, 126 KB)

Authorization for Administration of Medication at School M-3 (pdf, 209 KB)

Confidential Emergency Transportation Form - N09a (pdf, 250 KB)

Confidential Emergency Transportation Medical Information - N09b (pdf, 95 KB)

Diabetes Parent Form - Emergency Care Plan N14 (Injection) (pdf, 277 KB)

Diabetes Parent Form - Emergency Care Plan N14 (Pump) (pdf, 288 KB)

General Serious Health Questionnaire - N26 (pdf, 212 KB)

Complete if your child has a health concern that may result in an emergency at school.

Health Exam Form (pdf, 83 KB)

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Serving the communities of Afton, Bayport, Baytown Township, Grant, Hugo, Lake Elmo, Lakeland, Lakeland Shores, Lake St. Croix Beach, Marine on St. Croix, May Township, Oak Park Heights, St. Mary's Point, Stillwater, Stillwater Township, West Lakeland Township, Withrow, and Woodbury.