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Health Services Forms & Documentation

Please find all of the health forms and documents for the Springfield Platteview Community Schools.  Please notify us at the Director of Student Support Services office (402-594-0548) if you are unable to find the appropriate health form.

 
Folder Pre-school (2 Files)
Download Preschool Health Letter
Download Preschool Physical Form
Folder Kindergarten (3 Files)
Download Kindergarten Health Letter
Download Kindergarten Physical Form
Download Physical Exam/Visual Evaluation Waiver
Folder 7th Grade Physicals (1 Files)
Download 7th Grade Physical, Medical Waiver, & Insurance Form
Folder 8th Grade Sports Physicals (All four forms must be submitted!) (5 Files)
Download Physical Exam Form
Download Medical Release Form (PC)
Download Insurance Form
Download NSAA Consent Form
Download All Forms Combined
Folder High School Sports Physicals (All three forms must be submitted!) (4 Files)
Download High School Physical Form
Download Consent Form
Download High School Medical Release Form
Download High School Insurance Waiver
Folder Asthma-Allergy Action Plan (3 Files)
Download AOAN Action Plan
Download Medical Records Update Form
Download Self Management of Asthma and Severe Allergy
Folder Diabetes (1 Files)
Download Self-management at School
Folder Medications at School (3 Files)
Download Guidelines
Download Over-the-counter Drugs Permission Form
Download Prescription Drugs Permission form
Folder Outdoor Education (2 Files)
Download Outdoor Education Letter and Medication Form
Download Outdoor Education Permission for Medication
Folder Seizure Action Plan (1 Files)
Download Action Plan