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State law requires any medication or medical procedure have physician order and parent permission in writing. Click one of the following to download and complete the form in either PDF or Microsoft Word format.

PDF version

Student Health History and Home Hospital Forms

Student Health History (pdf, 119kb)

Physician's Orders for Medication at School

Physician's Orders for Medication at School (pdf, 6kb)
Orden del médico para administrar medicamentos en la escuela (pdf, 62kb)


Health Care Provider Medication Request and Treatment Plan for Asthma (pdf, 80kb)


Health Care Provider Orders for Students with Diabetes in Washington State Schools (pdf, 21kb)

HIPPA Release and Other Health Concerns

Return to School After Concussion (pdf, 124kb)                                      HIPAA Auth for Release.doc