In addition to the Health and Emergency Form, all new students and some returning students may need to provide other required forms. To access the forms, click the links based on grade level and download the forms applicable to your child.
Once completed, upload the forms using the same link in the corresponding tab. The gray box allows you to browse or drag and drop files. The allergy and medication forms are only needed if applicable.
Returning families: If your child does not require a physical examination or immunization record this school year, but they have an allergy or need medication during the school day, please use the links based on their grade level to access, complete and upload the forms that apply to your child. These forms need to be submitted every year.
Allergy and Anaphylaxis Emergency Plan
Prescription Medication Administration Release Form
Authorization for Students to Carry a Prescription Inhaler, Epinephrine Auto-Injector, Insulin, Diabetic Supplies, or Other Approved Medication (only Grades 5–12)
Over-The-Counter Medication Administration Release Form
Please keep a copy of all forms for your records. The information submitted will be maintained by the LJCDS wellness team in the strictest of confidence and will provide the basic data essential to your child's care.