School Nursing

Medical Forms

Allergy Form - Please fill out this form if your child has an allergy to food, insects, latex or the environment that may require medical intervention while at school. Antihistamines such as Benadryl are frequently brought to school to manage allergies. Students who have severe reactions must have an epipen at school at all times.

If your child has a severe allergy, please contact the school nurse to establish a plan of care for school.

Asthma Form - Please complete this form if your child has asthma. If your child has severe asthma, please contact the school nurse to establish a plan of care for school.

Diabetic Care Plan - Please complete this form if your child has diabetes and then please contact the school nurse to establish a plan of care for school.

Diabetes Care Plan - Children's Hospital of WI

Medication Consent Form- This form must accompany both prescription and over-the-counter medication. Both parent/guardian and physician must sign the Medication Administration Consent Form for administration of any prescription medication during the school day. For over-the-counter (non-prescription) medication to be administered during the school day, only the parent/guardian signature is required.

Seal-A-Smile Form

Seal-A-Smile Form (Spanish)

Seizure Action Plan

Vaccines

Vaccines for Children Program

Student Immunizations

Student Immunization Requirements for K - 6th Grades
Student Immunization Requirements for K - 6th Grades (Spanish)

Student Immunization Requirements for 7th - 11th Grades
Student Immunization Requirements for 7th - 11th Grades (Spanish)

Students Immunization Requirements for 12th Grade
Students Immunization Requirements for 12th Grade (Spanish)

Student Immunization Record Form

WI Immunization Registry Information for Parents

WI Immunization Registry: Información para los Padres

Meningococcal Disease

Tdap Vaccine Information