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Student Health Files & Forms

Click here to download a flyer with information about adolescent health services offered.

Forms

Diabetes Medical Management Plan
Click here to view the Diabetes Medical Management Plan form.

Special Dietary Needs
Click here to view the Special Dietary Needs form.

Seizure Disorder Healthcare Action Plan
Click here to view the Seizure Disorder Healthcare Action Plan form.

Allergy Action Plan
Click here to view the Allergy Action Plan form.

Permission for Self-carry Non-prescription Medication
Click here to view the Self-carry Non-prescription Medication permission form.

Diaper Ointment Permission Form
Click here to view the Diaper Ointment permission form. 

Medication Administration Form
Click here to view the Medication Administration permission form.

Medications for Field Trips
Click here to view the Medications for Field Trips permission form.

Letters

Scoliosis Screenings
Click here to download the letter sent home with students in grades five through twelve about scoliosis screenings.

HPV Vaccines
Click here to download the letter sent home with rising sixth graders about HPV vaccines.
40 Douglass Avenue NW, Roanoke, VA 24012 Phone 540-853-2502