Health Documents & Forms

Form

Description

Asthma Action Plan

Asthma Action Plan - Spanish

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 Exam Form

Eye Exam Form - Spanish

Eye Exam Waiver

Eye Exam Waiver - Spanish

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

Dental Form


Dental Form - Spanish

Dental Waiver

Dental Waiver - 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.