- North High
- Health Forms
Nurse's Office
Page Navigation
Health Forms
- Referral of Special Education Evaluation Data Gathering Checklist: Health Needs
- Medical Authorization for Temporary Restrictions from PE
- One Time Order for Blood Sugar Correction
- Asthma Action Plan
- Allergy Action Plan
- Authorization for Special Procedures
- Authorization to Self-Carry Epinephrine Autoinjector
- Authorization to Self-Carry Inhaler
- Authorization to Administer Short-Term Over the Counter Medication
- Diabetes Medical Management Plan
- Documentation of Controlled Substance
- Exchange of Information Form
- High School Physical Exam Form/Sports Participation
- Medical Statement for Students Requiring Special Meals
- Medication Authorization Form
- Seizure Action Plan
- Special Procedure Authorization Form
-
We encourage households to fill out the Student Health Information Google Form prior to the start of each school year. This allows the School Nurse to receive updated health information about your student(s) in a more efficient manner. If follow-up is needed, the Nurse will speak with the parent/guardian in detail and develop an individualized plan of care. Please click HERE to fill out the form. (A separate form is needed for each student you have enrolled at North High.)
