Health Forms

There are four forms for parent use (links below)

If the injury or health issue is the result of participation in an athletics program, please refer to the athletics forms.

  1. Medication Order by Licensed Prescriber
    This form must be completed when students need to use a prescription medication while at school.  This form must accompany the prescribed medication to school.

  2. Parental Consent for Medication Administration
    This form must be completed if your would like to have your child have access (through the nurse's office only) to routine medications such as Tylenol, Benedryl, Advil, etc.

  3. Massachusetts School Health Record Form
    Required for all students.  This form may be replaced by a physician generated form.

  4. Certificate of Immunization
    Required for all students.  This form may be replaced by a physician generated form.