Health Forms
A student health form is to be completed yearly or when a change in health status/condition occurs.
A medication form completed by the student's physician and a parent signature is required for any medication to be given at school. This includes all over the counter medications such as ibuprofen, acetaminophen, cough drops, etc.
A new medication form must be submitted at the beginning of each new school year or for needed changes.
A new medication form must be submitted at the beginning of each new school year or for needed changes.
Dietary forms are completed by a student's physician and signed by a parent, indicating the medical need for a special diet to be provided at school . Examples include: supplements, food allergies, lactose intolerance, gluten sensitivity.
A new dietary form must be submitted at the beginning of each new school year.
A new dietary form must be submitted at the beginning of each new school year.
A dental form filled out by a student's dental provider is requested upon school entry, 2nd grade, 7th grade, and 12th grade.
This link directs parents to the WV HealthCheck Provider Information page where health check forms can be located as well as additional preventative health care tips and resources.
A HealthCheck form is requested upon entry to Monongalia County Schools and for entry to 2nd grade, 7th grade, and 12th grade.
A HealthCheck form is requested upon entry to Monongalia County Schools and for entry to 2nd grade, 7th grade, and 12th grade.
Needed to grant permission for Monongalia County Schools to obtain and release information and/or records regarding a student from or to the school, department, agency, or person identified on the form.
This form is provided to parents as a tool to assess the risk for sudden cardiac death. This form is intended to bring awareness to risk factors your child may have and to give parents an indication when a student should be evaluated for identified risk factors by a physician.
Please feel free to contact the school nurse if you would like additional information on this topic.
Please feel free to contact the school nurse if you would like additional information on this topic.
