Health Information & Forms
Parents or legal guardians must provide new, updated forms at the beginning of each school year and whenever there is any change in medicine, instructions or doctor (California Education Code Section 49423, 49423.1). Please download the forms that are relevant to your child and complete them, or have your physician complete them as directed. Please return completed forms to your school’s Health Clerk.
Asthma
- Asthma Action Plan - English
- Asthma Action Plan - Spanish
- Asthma Action Plan - Chinese
Diabetes
- Diabetes Medical Management Plan
- Glucagon Injection Parent Request Specialized Healthcare Plan Form
- Parent/Guardian Diabetes Letter
- Specialized Physical Healthcare Service Waiver for Glucagon Injection
- More Information about Type 1 Diabetes
- More Information about Type 1 Diabetes (Spanish)
- More Information about Type 1 Diabetes (Chinese)
Head Injury
- CIF Concussion Return to Learn Protocol
- CIF Graded Concussion Symptoms Checklist
- Physician Letter to School
HIPAA
Medication and Dispensing
