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Health Documents & Forms

Hillside School District 93
Health Documents & Forms


Form

Description

Asthma Action Plan

For children with asthma, an Asthma Action Plan is to be kept on file.

Food Allergy Emergency Action Plan

Food Allergy Emergency Action Plan- Spanish

For children with severe allergies, a Food Allergy Emergency Action Plan and a treatment authorization form is required. 

Medication Authorization Packet

This packet is for any medication (prescription or over-the-counter) to be administered at school.

Physical Examination Form

Physical Examination Form - Spanish

This form is required for all students who are new to District 93, as well as all students entering Kindergarten and Sixth Grade.

Eye Examination Form

This form is required for all students who are entering Kindergarten or upon first entry into an Illinois school.

Dental Form


Dental Form - Spanish

This form is required for all students in grades Kindergarten, Second, and Sixth. 

IESA/IHSA Participation Form

This form is required for all students participating in athletic teams.

Seizure Action Plan
Plan de acción para las crisis
Required for students being treated for a seizure disorder.

Concussion Information

Form

Description

District 93 Concussion Protocols and Procedures

This packet outlines District 93 procedures and protocols for students diagnosed with a concussion.

Post-Concussion Consent Form

This form is required for a student who was diagnosed with a concussion and has received medical clearance to return to learn and play.

Medical Clearance Form (Return to Learn and accommodations)

 

This form is required to completed by a physician for a student diagnosed with a concussion.