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Health Forms

Forms are to be printed and returned.

Form Name Word File Download PDF Download
Annual Health Survey Word PDF
Authorization for School Medication Word PDF
Epinephrine Student Self-Administration Skills Checklist Word PDF

EpiPen Permission to Carry

Word PDF
Inhaler Student Self-Administration Skills Checklist Word PDF

Inhaler Permission to Carry

Word PDF
Over-the-Counter (OTC) Medications Word PDF
PA Physical Examination Form (PA Department of Health) NA PDF
PA Private Dentist Report Word PDF
Secondary Adaptive PE Form Word PDF
Vision Screening Referral Word PDF