Medical Forms
Medical Forms
This form is to be completed by the student's physician and parent for ANY medication to be administered at school.
Permission Form for Student to Self-Administer Emergency Medication
This form allows students, with parent permission, to self-administer emergency medication. JHCD FORM-3 must accompany this form.
Diabetes Management Plan - Spanish
School Nurse Health Information - English
Parents should complete this form each year to provide the school nurse with the most up to date health information on thier student.
School Nurse Health Information - Spanish
School Nurse Health Information - Vietnamese
School Nurse Health Information - French
Multiple Vaccine Consent Form - Spanish
Multiple Vaccine Consent Form - TDAP & Meningococcal
Multiple Vaccine Consent Form - TDAP & Meningococcal - Spanish
Physician Statement for Students Requiring Special Meals
Physical Form - NOT TO BE USED FOR RHS SPORTS PHYSICALS
This form may be taken to your physician when your child has a physical. Return the completed form to your school nurse.