Medical Forms

• Chinese Examination Form
• English Examination Form
• Korean Examination Form
• Spanish Examination Form

Please have your doctor complete this form, required for Kindergarten, 6th and 11th grades.

• Chinese Examination Form
• English Examination Form
• Korean Examination Form
• Spanish Examination Form

Please have your doctor complete this form, required for Kindergarten, 3rd and 7th grades.

• Chinese Medication Consent Form
• English Medication Consent Form
• Korean Medication Consent From
• Spanish Medication Consent Form

All medications to be administered at school require prescriber and parental consent.

• Allergy Health History Form
• Asthma Health History Form
• Diabetes Health History Form
• Seizure Health History Form

• Annual Health History Update Form

Parents/guardians are requested to complete the Health History Update form each year in September.  Please note:  This is a "fillable" form. To use it properly, please open it, save it to your device (computer), edit it, re-save it, and then send it to either via email to your child's school nurse, fax 215-233-6001.