This form is used to obtain information from providers to assist with healthcare planning while in school./

Este formulario se usa para obtener 
información de los proveedores para 
ayudar con la planificación de la 
atención médica mientras está en la escuela.

This form is used by the healthcare provider to document the results of a hearing examination.  It must be returned to the nurse. 

Este formulario es utilizado por el proveedor de atención médica para documentar 
los resultados de un examen de audición. Debe ser devuelto a la enfermera.

This form is used when a student fails a vision screening and will need a eye exam.

This is a generic healthcare plan form that can be used for any condition requiring modifications while the student is in school. 

This form is completed by parents/quardians for consent to adminsiter medications at school. This link contains the English and Spanish documents. 

The purpose of this form is to document immunity to varicella disease due to history of disease in lieu of receiving the vaccine.

El propósito de este formulario es documentar la inmunidad
a la enfermedad de varicela debido a antecedentes
de enfermedad en lugar de recibir la vacuna.