Vision/Hearing Memo for parents
Free vision and hearing screening notification.
Asthma Action Plan
Authorization and action plan for students with asthma.
Allergy and Anaphylaxis Emergency Plan
Emergency plan for students with allergies and anaphylaxis.
Seizure Action Plan
Action plan for students with seizure disorders.
Medication/Treatment Request Form
Authorization form for school staff to administer medication.
Illness/Communicable Disease MEMO
Prevent the spread of illness in school. Symptoms to watch for and procedures to follow.
G-tube Feeding Plan - 5335 F2
Parent consent for management of care/feeding plan.
Self-Medication Treatment Request Form
Authorization form for student self-medication while at school.
Epinephrine Notice
Epinephrine is the drug of choice for effective management of anaphylaxis. Symptoms, treatment, and training information regarding use of Epinephrine for anaphylaxis.
6th Grade Immunization Requirement
Wisconsin State Law requires immunization for all students prior to entering 6th grade.
Student Immunization Record
Wisconsin State Law requires all students to submit record of immunization within 30 school days of admission.
