Health Concerns

A Student Medical Alert Form must be completed by parent/guardian and given to the School Nurse for review. The information provided is used to assist the School Nurse in providing appropriate health services to students during the school day and to prepare staff for any emergency situations that may arise.

Student Medical Alert Form (English) Student Medical Alert Form (Spanish)

Life-Threatening Conditions

Students with life-threatening health conditions require medication or treatment orders in order to attend public schools (RCW 28A.210.320). The law defines life-threatening condition as a health condition that will put the child in danger of death during the school day, if a medication or treatment orders and a nursing care plan are not in place. Examples of a life-threatening condition are: Seizure disorders, Anaphylaxis, Diabetes, Asthma, Blood disorders, Cardiac disorders, or other life threatening conditions.


In order for a child of any age to receive medication at school or on a school-sponsored activity, a licensed health care provider's Authorization for Administration of Medication at School form must be completely filled out and returned to the school. This applies to prescription medication as well as over-the-counter medication such as Tylenol, cough drops, etc. Medication must be brought to school by an adult and be in the original pharmacy container showing the student's name and dosage. Medication order forms expire at the end of each school year. If you have any questions about medication at school, please contact your school nurse.

Authorization for Medication at School Form 

Medication Self-Carry Agreement


Engrossed Substitute Senate Bill (ESSB) 6641 requires schools to prepare an individual health plan for each diabetic student and update it annually. In order to accomplish this for our diabetic students, we ask that you complete the following forms:

Diabetic Order Form


Lice are tiny insects that live on the scalp and crawl through hair. Lice need human blood to live, and they die within 24 hours if they cannot feed. Lice lay eggs (nits) that cling to the hair close to the scalp. Nits are oval shaped and most often can be seen in the hair and behind the ears or neck. Lice hatch from nits after about 6 days and can lay more eggs after 10 days. Head lice are not a sign of uncleanliness, and they do not spread disease. The most common symptom of lice is itching the scalp. 

Other Health Forms

Mutual Exchange of Records - Spanish/English