Medical Forms
-
Anaphylaxis (severe allergy) Management Authorization Form
If your child has a severe allergy other than food, such as bee sting, latex, etc., please download and have the doctor complete it. For food allergies, please submit Food Allergy Action Plan instead (see below).
-
Asthma Management Authorization Form
If your child has asthma, please download this form and have your child's doctor complete it
-
Diabetes Management Authorization Form
If your child has diabetes, please download this form and have the doctor complete it.
-
Medication Authorization Form - Generic (English)
If your child needs to take daily medication at school, please download this form and have the doctor complete it.
-
Seizure Action Plan
If your child has seizures, please download this form and have the neurologist complete it. If emergency medication is prescribed, additional paperwork needs to be completed by the doctor. Please contact your school nurse (see contact page) for more information.
-
TB Risk Assessment Form For School Entry
For all students who are entering TK or Kindergarten or who are entering a Santa Clara County school from another county or outside of California or the USA, the TB Risk Assessment Form needs to be completed by a medical provider before registration. Alternatively, a valid TB test, such as a PPD/ TST or a blood test (including results) performed in the USA will be accepted.