Mandatory Health Forms

To prevent delay of treatment, please ensure all documents are completed in their entirety prior to submitting. Incomplete forms will be sent back home.

*Please make note that health forms are valid for the current school year. A physician will be required to complete a new one at the start of each school year.

3- Physical Examination Form.docx
  Physicals are only valid within the year. 

17- Administration of medication- consent.docx  Must be completed by physician for any scholar requiring medication that is time sensitive and must be given during the school day.
  ** REVIEW INSTRUCTIONS FOR MEDICATION PACKAGING**

RPS Policy prevents students from transporting medication. Parents must deliver and retrieve all medications. Any medication remaining at the conclusion of the year will be disposed of. Please make arrangements to pick up your child's medication prior to the close of the year. 

Students whom the physician has indicated have been properly trained to keep and administer their medication on their own, are the exception. 


23- Asthma Action Plan Form.pdf   
Must be completed by physician for any scholar requiring medication related to a Asthma diagnosis.  Administration of medication must be submitted in addition to this form.

24 -food allergy action plan from site.pdf Must be completed by physician for any scholar requiring medication related to a Life Threatening Food Allergy diagnosis.  Administration of medication must be submitted in addition to this form.

Seizure-Action-Plan_.pdf Must be completed by physician for any scholar requiring medication related to a Seizure disorder or Epilepsy diagnosis.  Administration of medication must be submitted in addition to this form.
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*Dietary Restrictions, Request for Special Meals and Milk Substitutions, please contact Mashcio's Food Services for further assistance. Additional documentation from physician will be needed to honor request. May ask nurse for more details.

Per the USDA, a non-life threatening allergy may be considered a disability and require meal modification if it impacts a major bodily function or other major life activity.