Health Information Forms

Health Information Forms are required to be filled out on each student every year. New and returning students will complete these forms via our online registration process. The information you provide helps us 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, example: BCBS or 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 notify the health room staff.  This information you provide helps the nurses care for your child. 

Medications. Please list any medications your child is currently taking or takes on an as needed basis.

If any health information changes during the school year, please contact your school nurse.