Tdap Booster and MCV4 Letter and Form
Effective with the 2016-17 school year, the Ohio Department of Health has revised the School Immunization requirements to include a dose of Td or Tdap AND a Meningococcal (MCV4) Vaccine to be administered before a student enters 7th grade. Therefore, your current 6th grader will need to show proof of having received this booster dose before returning to school in the fall.
Allergy Action Plan
Should your child have food or other allergies, this form allows your physician to permit the administration of 1 or more allergy medications to your child during school hours.
Asthma Action Plan
This two page form includes an asthma action plan and a form that will allow your child to carry and use an inhaler during school hours. Some parents choose to keep a back-up inhaler with the nurse in the school clinic. This form also allows the nurse to provide the inhaler to the child.
Seizure Action Plan
This two page form outlines a child’s seizure emergency and treatment protocol, and provides guidance to school staff members on how to respond should the child experience a seizure during school.
CYO Physical Form
This form is required to be completed prior to participation in any practice or game. The form is good for 1 year— if you submit a form completed by your child’s doctor prior to the start of a school year, the form should be valid for the entire sports year.