District Health Forms

Forms

All Schools

• Asthma Action Plan
• Children's Dental Network - Form for PreK- Grade 8 (current) (2023-2024)
• Children's Dental Network Privacy Notice
• Food Allergy Action Plan
• Medication Drop Off/Received Form
• Parental Permission to Receive Tylenol (Acetaminophen)
• Physical Examination
• Physician's Authorization Form for Epipen/Inhaler (updated 1/19/23)
• Physician's Authorization Form for Medication

Elementary School

(No elementary-only forms at this time.)

Middle School

• Athletic Physical Examination

Other Information

• Bed Bugs: NH DHHS Fact Sheet
• Children’s Dental Network - Dental Privacy Notice
• Common Childhood Illness Guidance
• Diabetes Medical Management Plan (updated 11/11/22)
• Eastern Equine Encephalitis (EEE): NH DHHS Fact Sheet
• Fifth Disease: NH DHHS Fact Sheet
• Hand, Foot and Mouth Disease: NH DHHS Fact Sheet
• Head Lice: NH DHHS Fact Sheet
• Influenza (Flu)
  • CDC Informational sheet: The Flu: A guide for Parents
  • Flu Checklists: (Preschool) (Elementary) (Middle & High School)
  • Influenza (Flu): NH DHHS Fact Sheet
• Lyme Disease: NH DHHS Fact Sheet
• Measles: CDC Informational sheet: Top 4 Things Parents Need to Know about Measles
• Norovirus: NH DHHS Fact Sheet
• RSV: NH DHHS Fact Sheet
• Seizure Action Plan (SAP)
• Staph Skin Infections: NH DHHS Fact Sheet
• West Nile Virus: NH DHHS Fact Sheet
• Zika: NH DHHS Virus Fact Sheet