Administration of medication to students by school personnel
Medication Letter to Parent/Guardian
SPANISH - Medication Letter to Parent/Guardian
Permission to administer prescription and/or non-prescription medication
Authorization to Give Medication
Kentucky Preventative Health Care Examination
Kentucky Preventative Health Care Exam
Kentucky Dental Exam Form for School Entry
Kentucky Eye Exam Form for School Entry
Eye Exam
Parent/Guardian Consent Response Form - Hearing & Vision Screening, Grades K-5
Hearing and Vision Screening Program, Grades K-5
SPANISH - Hearing and Vision Screening Program, Grades K-5
Physician-Parent Authorization for Self-Administration by Student
Asthma Care Plan
Individual Diabetes Health Care Plan
Diabetes Health Care Plan
If your student has a different Diabetes Health Care Plan, please use the following form:
Diabetes Health Care Plan - Signature Page ONLY
Allergy Care Plan for Prescribed Epinephrine
Epi Care Plan
Seizure Action Plan (Information & Emergency Response)
Seizure Action Plan
If your student has a different Seizure Action Plan, please use the following form:
Seizure Action Plan - Signature Page ONLY
Parent or Guardian’s Declination on Religious Grounds to Required Immunizations
Religious Exemption Form
