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Optional Health Forms
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Over the Counter Medication Forms - to be completed by Guardian
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Prescription Medication Forms - to be completed by physician and Guardian
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Emergency Medication Form - to be completed by physician for medications used for Asthma, Allergies, Seizures, etc.
- Physician Certification to Authorize Student Self Administration of Emergency Treatment at School - to be filled out by Physician
- Consent to Release Information
- Click Here for Information about School Action Plans for chronic illnesses or allergies.
Questions? Please email the LSCS District Nurse - Jennifer Pavlinac RN, BSN at jpavlinac@lakes.k12.in.us
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