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PA Private PHYSICAL EXAMINATION Form
This form must be completed by the child's physician if the parent/guardian chooses to have a physical examination provided by the family physician and not through the district provider. -
PA Private DENTAL EXAMINATION Form
This form must be completed by the child's dentist if the parent/guardian chooses to have a dental examination provided by the family dentist and not through the district provider. -
Parent/Guardian's Request to Administer Medication in School
A physician's order is required for prescription and non-prescription (over-the-counter) medications to be administered during school hours.
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Food Allergy Action Plan
This form is to be completed by the parent/guardian and physician for a student with a known food allergy. -
Student Asthma Action Plan
This form is to be completed by the parent/guardian and physician for a student with asthma. -
Seizure Action Plan
This form is to be completed by the parent/guardian and physician for a student with a seizure disorder. -
Questionnaire for a Parent of a Student with Seizures
This form is to be completed by the parent/guardian and physician for a student with a seizure disorder.
