Health Care Services Forms

• A
• B
• C
• E
• F
• H
• I
• L
• M
• P
• R
• S
• T
• V

A

A

Activity Restrictions

Activity Restrictions (Español)

Allergies Sheet

Allergies Sheet (Español)

Asthma Action Plan

Asthma Action Plan (Español)

B

B

Bed Bug Fact Sheet

Bed Bug Fact Sheet (Español)

Bed Bug Inspection Form

Bed Bug Inspection Form (Español)

C

C

Cardiac Care Plan

Conjunctivitis Parent Letter

Conjunctivitis Parent Letter (Español)

E

E

Emergency Care Plan

Emergency Care Plan (Español)

Emergency Medical Form

Emergency Medical Form (Español)

F

F

FARE Form

FARE Form (Español)

Fever Parent Letter

H

H

Head Injury Report

Head Injury Report (Español)

Health Services & Mandated Screening

Health Services & Mandated Screening (Español)

I

I

Immunization Schedule

Immunization Schedule (Español)

L

L

Lice Letter

Lice Letter (Español)

M

M

Medical Care of Plan Food Service Form

Medication Consent

Medication Consent (Español)

Medication Policy

Medication Policy (Español)

P

P

PA Physical Exam Form

Private Dental Exam Form

R

R

Restroom Accidents

Restroom Accidents (Español)

S

S

Scoliosis Parent Letter

Scoliosis Parent Letter (Español)

Seizure Action Plan

Seizure Action Plan (Español)

Sports Physical (PIAA)

Sudden Cardiac Arrest

T

T

TBI Concussion Fact Sheet

TBI Concussion Fact Sheet (Español)

V

V

Vomiting/Diarrhea Parent Letter