Health Service Forms & Documents

SOUTH SPENCER COUNTY
SCHOOL CORPORATION

Select	Title	Date
Select an item	pdf 2025 - 2026 Immunization Requirements ( pdf, 83 KB )	22 Feb 2023
Select an item	pdf Asthma Plan of Care Form ( pdf, 108 KB )	17 Jul 2011
Select an item	pdf Authorization for Medication/Treatment and Physician Statement Form ( pdf, 79 KB )	17 Jul 2011
Select an item	pdf Cardiac Action Plan ( pdf, 61 KB )	11 Mar 2015
Select an item	pdf Dental Form ( pdf, 162 KB )	17 Jul 2011
Select an item	pdf Emergency Medical Authorization Permit ( pdf, 44 KB )	18 Jul 2011
Select an item	pdf Food Allergy and Anaphylaxis Emergency Care Plan ( pdf, 614 KB )	30 Nov 2012
Select an item	pdf Health Care / Emergency Plan ( pdf, 60 KB )	17 Jul 2011
Select an item	pdf HPV Letter ( pdf, 54 KB )	03 Aug 2015
Select an item	pdf Kindergarten/6th Grade Physical Form ( pdf, 8 KB )	21 May 2014
Select an item	pdf Medication Administration Form ( pdf, 59 KB )	01 Apr 2015
Select an item	pdf Medication Rules ( pdf, 153 KB )	02 Apr 2015
Select an item	pdf Non-Prescription, Over-the-Counter Form ( pdf, 71 KB )	17 Jul 2011
Select an item	pdf Seizure Action Plan Form ( pdf, 60 KB )	17 Jul 2011
Select an item	pdf Sports Physical Form ( pdf, 625 KB )	31 Mar 2025
Select an item	pdf Student Health History ( pdf, 52 KB )	18 Jul 2011
Select an item	pdf Tylenol Form ( pdf, 94 KB )	17 Jul 2011