Health Forms

Health Policies

Explanation of Health Forms

North Carolina Health Assessment Transmittal Form
(New students)

Annual Student Health Questionnaire (Required by ALL students EACH year) 

Immunization History Form

Potassium Iodide (KI) Permission Form

Potassium Iodide Info

Prescription Medication Form

Non-Prescription Medication Form

Agreement to Self-Carry Emergency Medication Form - for Emergency Medication Only (inhalers, epinephrine injectors, diabetic medication) 

Athletic Forms

Please see the Athletics page. 

Concussion Return To Play Form 

 

Food Allergy Action Plan

Asthma Action Plan - Page 1

Asthma Action Plan - Page 2

Severe Allergy Action Plan

Seizure Action Plan

Bee Sting Allergy Action Plan

Fire Ant Allergy Action Plan

Diabetic Care Plan

Diabetic Care Plan/ Parental Request for Individual Health Plan

Concussion Return to Learn Form 

No Nit Policy Letter
 

Other Forms

FERPA Opt-Out Form

McKinney-Vento Homelessness Assistance Act