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Health & Medical Requirements & Forms

 

Elementary School

520 Lincoln Street

Denver, IA 50622

Phone (319) 984-5611

Fax(319)-984-5612

Josh Sinram – Principal 

Tanya Mrzlak - Secretary 

Transitional Kindergarten/Kindergarten requirements 

See below for requirements and please refer to the information you received during kindergarten round up. 

- Up-to-date immunization card is required prior to first day of school  

- School physical assessment completed by your provider before school begins

- Annual Student Health Update form - complete this form online yearly on JMC

- Vision screening form

- Dental Screening Certificate

-  Lead Level -  this is indicated on your school physical assessment 

 

Elementary Health Information

Annual Health Update

- Parents must complete the Annual Student Health Update in JMC during registration each year before school begins.

Medication at School

Medication Consent Form – If your child will take medication at school, please complete the Medication Consent Form and bring it to the office.

- Please report any new medical conditions or medication changes in the health update and contact the school nurse.

Vision Screening – 3rd Grade

Vision Screening Form - All 3rd grade students are required to have a Vision Screening completed.


Health Forms & Action Plans

Allergies

Allergy Policy

Medication Consent Form – required if your child takes any medication at school.

Food Allergy Diet Modification – complete this form if your child has a food allergy or cannot have certain foods at school.

Allergy action plan – required yearly for any child with a severe allergy, completed by a physician.

FARE : Food Allergy Anaphylaxis Emergency Care Plan

Asthma Action Plan – recommended for any child with asthma.

Seizure action plan – required yearly for any child with a seizure disorder.

Self Carry Med Permission form  – required if your child carries their own inhaler or EpiPen.

Diabetes Medical Management plan 

Immunization Requirements – Please review the current Immunization Requirements for school attendance.