Forms For School Use and School Policies On Health Matters
February 12, 2008
District Wide Enrollment form for all students.
This plan is intended for students with allergies requiring medical care.
School health staff requests this form to be completed by family doctor and parent for treatment of asthma at school.
Parents may submit new information related to their child's asthma.
All students age 8 and younger are required to submit a health assessment form upon school entry in Kansas schools.
Kansas Birth Certificate Application
A certified state copy of a child's birth certificate is required upon school entry for students enrolling in school for the first time or transferring from another state.
Kansas Immunization Requirements for School-April 2008
Updated February 2008, this is the most current requirements from the state of Kansas for all children in schools in Kansas.
This form is required for students who have food related allergies or intolerances.
Medication Policy
The schools will cooperate with parents in circumstances when a student must take medication during the school day and when properly authorized to do so. Written request from a physician or dentist must accompany all medication, including all over-the-counter medicine, herbs, and alternative products administered by school personnel. The following guidelines must be followed for the safety of all children:
- A permission document must be on file at school (see form below). A permission form must be completed every year.
- Medication must be sent in a container on which the child’s name, dosage, and type of medication are clearly noted. Two containers may be requested from the pharmacist-one for school and one for home.
- Send only the amount of medicine needed at school. Medication should not be sent back and forth from school to home.
- School personnel will not give the first dose of medication.
- Students at the Middle School & High School level may carry non-prescription medication subject to inspection by the principal or his representative. This medicine is to be used responsibly per label instructions. Sharing medication with other students is not allowed. Abuse or distribution of such will result in disciplinary action.
Note: Parents should avoid scheduling dispensing of medication at school unless necessary. Example: Medication to be given three times per day may be given at home, before school, after school, and at bedtime.
Medication Form For School Administration
This form is required for school personnel to administer any medications at school including over the counter medications. It requires a physician/dentist signature and a parent/guardian signature.
Medication Form For Self Administration
This form is for students 6-12th grades who have a need to carry prescription medications for anaphylactic reactions or asthma. Special consideration may be made for younger students on an individual basis with physician request.



