Health History English



A new health history form is required each school year.

Parents are encouraged to complete this form prior to the end of the current school year. 

This  allows for nurses to update health information prior to the upcoming school year. Updated information will be provided to teachers prior to the first instructional day.

* Please note this form can also be used to update student health information and make changes to emergency contacts at any time during the school year. 


How to use:

Print form, update information, sign and date.

Please scan and email form to

Health_History_English.pdf, 688.75 KB; (Last Modified on April 13, 2020)