Health Office Forms
Health Questionnaires
New to district and kindergarten students please complete the health questionnaire indicated below.
All required forms may also be obtained from the health office during site registration.
Medication Permission
Medication Permission Form (see medications at school page for all medication forms)
Health Care Plans and Related Forms
(only as needed or requested)
A health plan is developed by the school nurse with the assistance of the parent for the management of a student's health concern at school. The following plans are available as fill-in-the-blank forms. Note that these health plans require a signature from both a parent and a health care practitioner in order for emergency medications to be kept at school and administered by staff if needed. Return the forms to the school health office once completed and signed. The school nurse will contact you if further information or clarification is needed. Other conditions requiring health plans must be written by the school nurse on an individual basis. Please contact the school nurse at your student's school if you have questions about individualized health care plans.
Allergy
- Colorado Allergy and Anaphylaxis Emergency Care Plan and Medication Orders
- Allergy-EPI-Pen Self-Carry Contract
Asthma
- Colorado Asthma Care Plan and Medication Order for School and Child Care Settings
- Asthma Self-Carry Contract
Diabetes
Seizures
School Physicals
School health services are meant to augment, not replace, annual health care supervision by your student's primary health care provider. Therefore, the district requests that students entering kindergarten, fourth, seventh, and tenth grades have a physical examination. A physical form is available from your school, on the Thompson School District web site (Health Services Department), and at most local doctors' offices. The examination should be performed by the student's family physician and at no cost to the school district.