Health History Form

CLICK HERE TO COMPLETE YOUR CHILD'S HEALTH HISTORY FORM. THIS FORM GIVES ME PERMISSION TO TREAT AND TO BETTER TAKE CARE OF YOUR CHILD.

 ALSO, IF YOUR STUDENT HAS ASTHMA, SEIZURES OR HISTORY OF SEIZURES, DIABETES, FOOD ALLERGY OR ANY OTHER SERIOUS HEALTH CONDITIONS; I, BY LAW, AM REQUIRED TO KEEP AN ACTION PLAN ON FILE FOR EMERGENCIES. 

PLEASE LET ME KNOW IF YOU NEED AN ACTION PLAN AND I WILL GET THE APPROPRIATE PLAN TO YOU TO FILL OUT.

https://tinyurl.com/AR3medical