Health/Physical Exams:

1. Preschool - 5th Grade (also used for ECS; completed by health care provider)
2. 6th - 12th Grade (also used for sports physical; completed by health care provider)

Immunizations:

1. Pre-Kindergarten - 12th Grade Immunization Record (includes child care & conscientious objection to immunizations)

Authorizations/Releases/Consent forms:

1. Authorization for the Administration of Medication/Treatment
2. Release of Information (ROI) Authorization
3. Self-Administration of Medication Authorization (completed by health care provider)
4. Overnight Field Trip Authorization

Specifically for students with anaphylaxis, asthma, diabetes, and/or seizures:

1. Authorization for the Administration of Medication/Treatment
2. Self-Carry, Self-Administer Medication Agreement
3. Allergic Reaction Questionnaire
4. Asthma/Breathing Questionnaire
5. Diabetes Questionnaire
6. Seizure Questionnaire

Contact your healthcare provider to obtain a copy of your child's anaphylaxis, asthma, diabetes, and/or seizure action plan. Provide a copy to the health office at your child's school.

ECS (Early Childhood Screening) - Please print, complete, and bring each of these forms to your ECS appointment:

1. Health History and Information
2. Registration for ECS
3. Parent-Guardian Consent (Rev. 11-30-12)

Completed forms can be emailed to: student.wellness@spps.org