School Health Forms

LCPS HEALTH DOCUMENTS

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DISTRICT LEVEL DOCUMENTATION

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Medication Dispensing Log (Template)Healthcare Parent Memo
Parent Medication Memo
Medical Authorization to Administer Medicine
Medical Authorization to Administer EpiPen

STATE LEVEL DOCUMENTATION

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Documents on this web page are updated per statute and regulation and are intended for district use in fulfilling the requirements for school entry.

Vision Exam Form
Immunization Certificate
Immunizations: Medical Exemption Certificate
Immunizations: Religious Exemption Certificate
Medical Examination of School Employees
Kentucky High School Athletic Association (KHSAA) FORMS
Preventative Health Care Examination Forms K - 12
School Health Services Reference Guide
Dental Health Screening Form
 

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Thank you,