Forms
STUDENT FORMS
Complete the forms below IF they are are applicable to your student.
Forms
• Athletic Forms (Pre-Participation Exam, Concussion Form, Standard of Conduct Form)
• Student Medical History
• Health Assessment (Physical Form for Students under age 9)
• Vaccination (Kansas Certificate of Immunizations – KCI)
• 2020-2021 Kindergarten-Grade 12 Immunization Requirements • Administration of School Supplied Acetaminophen (Tylenol) and Ibuprofen (Advil) for Middle School and High School Students
• Free/Reduced Meal Application and Consent for Disclosure
• Meal Modification Form
• Optional Low-Cost Chromebook Student Device Insurance (Grades 6-12)
HEALTH AND MEDICAL
Below you will find a list of health and medical forms for your student(s). If you do not see what you are looking for, please call our Administrative Offices at (316) 788-8400 so we can assist you.
• Athletic Forms
• Health Assessment (physical form for students under 9)
• Physical Form 2024
• Kansas Certificate of Immunization (KCI)
• 2020-2021 Kindergarten-Grade 12 Immunization Requirements
• Meal Modification Form
• Food Allergy Action Plan
• Epi-pen and Auvi-q Care Plan
• KS Asthma Action Plan
• Request for Administering Medications or Procedure (331)
• Request for Administering Medication or Procedure for Secondary Students (331a)
• Administration of School Supplied Acetaminophen (Tylenol) and Ibuprofen (Advil) for Middle School and High School Students
• Head Lice/Pediculosis
• Transportation Health Information – Google Form
• Transportation Health Information – Printable Form
• Coronavirus (COVID-19) – KDHE and CDC
