• Health Information Forms

    It is important to complete the Student Health Information form each year. The information you provide helps the health room staff to care for your child should they come to the health room or in the event of an emergency. Your child's health information is confidential and may only be shared with other members of the educational team on a need to know basis. 

    Completing the Health Information Form
    Insurance. Please indicate if you have insurance (please include the name of your insurer), MOHealthNet, or no insurance for your child. The information is used in aggregate form as statistical data to the state for assistance with funding for family programs.

    Allergies. It is imperative to identify your child's allergies - food, medication, environmental, etc. If your child has a serious allergy, please speak directly to the health room staff so we can make accommodations for your student. 

    Asthma. If your child has a diagnosis of asthma, please complete the back of the Health Information form as completely as possible. The information you provide helps the health room staff care for your child.

    Medications.  The health rooms do not provide over the counter medications for students (acetaminophen, ibuprofen, and antacids). Parents may bring medications to school for their student's use with a completed Medication Administration Form.  All medications (over the counter) must be in the original, unopened packaging with dosages on the label.  The Medication Administration form is available for download below or you can obtain a form in the health room in your student's building. Please contact the health room in your student's building for assistance. For additional information, please see the "Medications" selection.

    Medications will not be administered to preschool students.

    Health Information Form 2017-18

    Medication Administration Form