Published on Middleton Cross Plains Area School District (https://mcpasd.k12.wi.us)

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Health Forms and Downloads [1]

Health Forms

The following health forms are available:

Asthma fillable form [2]

Seizure Action Plan [3]

Allergy Emergency Plan Form [4]

Food Allergy Management Plan [5]

Medication Administration Information Form [6]

Medication Administration Information Form - MHS [7]

Health concern update letter [8]

Immunization Requirements  2014 and beyond (English)  [9]

Immunization Requirements  2014 and beyond (Spanish) [10]

Immunization fact sheet for middle and high school students  (English) [11]

Immunization fact sheet
for middle and high school students (Spanish)
[12]

Immunization form (English) [13]

Immunization form (Spanish) [14]

Kindergarten eye exam [15]

Kindergarten parent letter [16]

Kindergarten physical and dental form [17]

E-cigarette Tips for Parents [18]

That USB Stick might be an E-cigarette [19]

Health Topics Links

Information about Head Lice

Head Lice Protocol [20]

Protocolo de Piojos [21]

Public Health Head Lice Fact Sheet (PDF) [22]

Nit Picking Chart (English [23]) [24]

Nit Picking Chart (Spanish) [25]

Prescription Medications for Schools:
What You Will Need (English)
[26]

Prescription Medications for Schools:
What You Will Need (Spanish)
[27]

Over the Counter Medications for Schools: What You Will Need (English) [28]

Over the Counter Medications for Schools:
What You Will Need (Spanish)
[29]

 


Source URL (retrieved on 03/03/2021 - 3:50pm): https://mcpasd.k12.wi.us/node/280/health-forms-and-downloads

Links:
[1] https://mcpasd.k12.wi.us/node/280/health-forms-and-downloads
[2] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/AsthmaMedicalManagementPlanfillable.pdf
[3] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/2018SeizureActionPlan.pdf
[4] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/2018AllergyEmergencyPlanForm.pdf
[5] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/2018FoodAllergyPlan.pdf
[6] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/medicationadmininfo.pdf
[7] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/MHSMEDADMININFOForm.pdf
[8] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/HealthConcernUpdat.pdf
[9] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/imms2014andbeyondE.pdf
[10] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/imms2014andbeyondS.pdf
[11] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/ImmsRequirements612E.pdf
[12] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/Immsrequirements612S.pdf
[13] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/studentimmunizationform.pdf
[14] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/immunizationform_spanish.pdf
[15] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/kgneyeexam.pdf
[16] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/kinderimmunletter.pdf
[17] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/PhysicalandDentalForm.pdf
[18] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/E-cigaretteParentTips.pdf
[19] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/USBStickE-cigarette.pdf
[20] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/HeadLiceProtocol2018.pdf
[21] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/HeadLiceProtocol2018Spanish.pdf
[22] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/PediculosisFaceSheetPubHlth.pdf
[23] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/nitpickingchart.pdf
[24] https://www.wiaawi.org/Health/Concussions.aspx
[25] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/nitpickingspanish.pdf
[26] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/2020EnglishPrescription.pdf
[27] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/2020SpanishPrescription.pdf
[28] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/2020EnglishCounterMeds.pdf
[29] https://mcpasd.k12.wi.us/sites/mcpasd.k12.wi.us/files/content/node/280/health-forms-and-downloads/2020SpanishMeds.pdf