USD 434 Santa Fe Trail District Health Forms
Sports Physical Forms are available for download from the Kansas High School Activites Association Website at the following link - http://www.kshsaa.org/Public/PDF/FORM-PPE.pdf
Immunization requirements and a blank KCI form (click on the Kansas Certificate of Immunization) - http://www.kdheks.gov/c-f/school_resources_forms.html
Kansas Asthma Action Plan (.pdf)
Authorization to Disclose/Obtain Medical Information
Exclusion of Sick Students
Health Assessment Form/Health Record
Health History Form
Influenza Consent Form
Medication Permission Form
Medical Consent for Emergency Treatment
Medication Permission Form for Self-Medication
Staff Emergency Information
USD 434 Medication Policy
Please contact Jeanette Lewis District Nurse with any concerns or questions - email jlewis@usd434.us or phone 785-665-7161
