Concussions/Head Injury/TBI Health Forms

• Health forms must be submitted every twelve months.
• Please print your paperwork, fill out completely, and bring the completed and signed paperwork to the Health Aide at your student’s school.
• All health forms require a parent signature, most forms require a Provider's signature as well. 
• Medication must be delivered by the student's guardian and checked in with authorized staff.  Medication delivered by a student will not be accepted.
• Each medication must have a pharmacy label.
• Every student with a medical concern must have a bus form for field trips.  

In the case of a concussion/head injuty/TBI, please call the nurse call phone at 435-395-8219.