Authorization to Administer Hepatitis B Vaccine

Authorization to Administer Hepatitis B Vaccine

This Hepatitis B Vaccine Authorization Form is used to document an employee’s vaccination history or declination of the Hepatitis B vaccine. Employees receiving the vaccine must complete the form for each injection in the series, while those opting out must sign the...
Food Allergy Action Plan & Emergency Care Guide

Food Allergy Action Plan & Emergency Care Guide

This Food Allergy Action Plan provides emergency care instructions for students with severe food allergies. It includes steps for administering epinephrine, recognizing allergic reaction symptoms, and contacting emergency medical services. Parents, healthcare...
Limited Waiver of Medical Services for Diabetes Management

Limited Waiver of Medical Services for Diabetes Management

This Diabetes Waiver Form allows students with diabetes to independently monitor and manage their blood glucose levels in the classroom instead of the school health office. The waiver includes parental consent, physician approval, and acknowledgment of liability,...
Bumps or Blows to the Head Notification Form

Bumps or Blows to the Head Notification Form

This form is used to notify parents/guardians when a student sustains a head bump or blow during school activities. It outlines monitoring instructions for the next 24 hours, details of the incident and treatment, and a list of symptoms requiring emergency medical...
Athletic Insurance Certification Form

Athletic Insurance Certification Form

This Athletic Insurance Certification Form is required for students participating in school-sponsored athletic programs. Parents or guardians must certify that the student is covered by valid accident and medical insurance, meeting the minimum coverage levels set by...