Health Forms for Families

All forms were created in Adobe Acrobat. To get a free download of the Acrobat Reader Software, click

The link to the left.

Click the links below for downloadable forms from Student Health and Wellness.

Physical Exam (link to Athletic's Website)

Preschool - 5th Grade
6th - 12th Grade (also used for sports physical)

Immunization Record

English

Authorizations/Releases/Consent forms

Authorization for the Administration of Medication
Authorization for the Administration of Medication, Treatment, and Self-Carry (specifically for students with Anaphylaxis, Asthma, and/or Diabetes)
Consent for Glucose Monitoring
Release of Information (ROI) Authorization
Self-Administration of Medication Authorization (This form does not apply for students with Anaphylaxis, Asthma, and/or Diabetes)
Asthma Action Plan

Medical Statement for Special Dietary Needs

Portico HealthNet Release of Info (ROI)

Portico HealthNet Release of Info (ROI) - Spanish