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Health Forms
Parents or legal guardians must provide new, updated forms at the beginning of each school year and whenever there is any change in medicine, instructions or doctor (California Education Code Section 49423, 49423.1). Please download the forms that are relevant to your child and complete them, or have your physician complete them as directed. Please return completed forms to your school’s Health Clerk.
Asthma
Diabetes
- Diabetes Parent Consent and Physician Authorization Diabetes Management Form
- Glucagon Injection Parent Request Specialized Healthcare Plan Form
- Parent/Guardian Diabetes Letter
- Specialized Physical Healthcare Service Waiver for Glucagon Injection
EpiPen Protocol
Head Injury
HIPAA
Medication and Dispensing
- Authorization for Student to Carry Medication in School
- Medications Policy Letter
- Permission and Instruction to take Medication during School Hours