WSESU

FORMS

Health Form

WSESU Health form

Instructions for filling out the form on PowerSchool

Asthma/Allergy

Medication in School

Medication Permission Form

Seizure Form

Seizure Action Plan

Immunizations

Vision/Dental

Vision Referral Documentation

Dental Visit Documentation

Athletics

Sports Clearance Form

Concussion Form

Release of Info

WSESU/Special Education Release

Off Campus Form

Nurse Off Campus Permission

Languages

ALL DOCUMENTS ARE TRANSLATED USING GOOGLE TRANSLATE. PLEASE NOTE THERE MAY BE TRANSLATION ERRORS.

REACH OUT TO REBECCA OLMSTEAD (ROLMSTEAD@WSESDVT.ORG) FOR ADDITIONAL TRANSLATION NEEDS.

Español (Spanish)

Formulario de Salud Health Form

Vacunas obligatorias desde jardín de infantes hasta 12.º grado

iz requirements K-12

Vacunas obligatorias para guarderías y preescolares

Iz Requirements Child Care/Preschool

Lectura obligatoria para la exención de vacunación

Required Reading for Immunization Exemptions

Formulario de exención de vacunación

Immunization Exemption Form

Formulario de autorización para salir del campus

Off Campus Form

Formulario de pedido de medicamentos

Medication Order Form

中国人 (Chinese)

幼儿园至 12 年级必修免疫接种

Iz requirements K-12

必修免疫接种儿童保育/学前班

Iz Requirements Child Care/Preschool

免疫接种豁免必读内容

Required Reading for Immunization Exemptions

免疫接种豁免表格

Immunization Exemption Form

校外授权表格

Off Campus Form

药品订单表

Medication Order Form

(Arabic) عربي

نموذج الصحة

Health Form

التطعيمات المطلوبة من الروضة إلى الصف الثاني عشر

Iz requirements K-12

التطعيمات المطلوبة من دور الحضانة/مرحلة ما قبل المدرسة

Iz requirements Child Care/Preschool

القراءة المطلوبة للإعفاء من التطعيم

Required Reading for Immunization Exemption

نموذج الإعفاء من التطعيم

Immunization Exemption Form

نموذج تصريح الخروج من الحرم الجامعي

Off Campus Form

نموذج طلب الدواء

Medication Order Form

پشتو (Pashto)

د روغتیا فورمه

اړین واکسینونه وړکتون - دولسم ټولګي

Required immunizations K-12

اړین واکسینونه د ماشوم پاملرنې/مخکیني ښوونځي

Required Immunizations Child Care/Preschool

د معافیت معافیت لپاره اړین لوستل

Required Reading for Immunization Exemptions

د معافیت د معافیت فورمه

Immunization Exemption Form

د کیمپس د اجازې فورمه بهر

Off Campus Form

د درملو امر فورمه

Medication Order Form

ພາສາລາວ (Lao)

ແບບຟອມສຸຂະພາບ

ວັກຊີນທີ່ຈຳເປັນຂອງໂຮງຮຽນອະນຸບານ-ປ.12

Iz Requirements K-12

ການເບິ່ງແຍງເດັກ/ອະນຸບານທີ່ຈຳເປັນ

Iz Requirements Child Care/Preschool

ການອ່ານທີ່ຕ້ອງການສໍາລັບການຍົກເວັ້ນການສັກຢາປ້ອງກັນ

Required Reading for Immunization Exemptions

ແບບຟອມການຍົກເວັ້ນການສັກຢາປ້ອງກັນ

Immunization Exemption Form

ແບບຟອມການອະນຸຍາດວິທະຍາເຂດ

Off Campus Form

ແບບຟອມການສັ່ງຢາ

Medication Order Form

دري (Dari)

فورم صحی

واکسین های مورد نیاز کودکستان-صنف دوازدهم

Iz Requirements K-12

واکسین های مورد نیاز مراقبت از اطفال/پیش دبستانی

Iz Requirements Child Care/Preschool

خواندن مورد نیاز برای معافیت واکسیناسیون

Required Reading for Immunization Exemptions

فورم معافیت واکسیناسیون

Immunization Exemption Form

فورم مجوز خارج از محوطه دانشگاه

Off Campus Form

فورم سفارش ادویه

Medication Order Form

ትግሪኛ (Tigrinya)

ቅጥዒ ጥዕና

ዘድሊ ክታበት መዋእለ ህጻናት-12 ክፍሊ

Iz Requirements K-12

ዘድሊ ክታበት ክንክን ህጻናት/ቅድመ ትምህርቲ

Iz Requirements Child Care/Preschool

ካብ ክታበት ነጻ ምዃን ዘድሊ ንባብ

Required Reading for immunization Exemptions

ቅጥዒ ነጻነት ክታበት

Immunization Exemption Form

ካብ ካምፓስ ወጻኢ ፍቓድ ቅጥዒ

Off Campus Form

ቅጥዒ ትእዛዝ መድሃኒት

Medication Order Form

Français (French)

Formulaire de santé

Immunisations obligatoires de la maternelle à la 12e année

Required Immunizations K-12

Immunisations obligatoires pour la garde d'enfants et l'école maternelle

Required Immunizations Child Care/Preschool

Lectures obligatoires pour l'exemption de vaccination

Required Reading for Immunization Exemptions

Formulaire d'exemption de vaccination

Immunization Exemption form

Formulaire d'autorisation hors campus

Off Campus Form

Formulaire de commande de médicaments

Medication Order Form

(Urdu) اردو زبان

صحت کا فارم

ضروری حفاظتی ٹیکے کنڈرگارٹن-گریڈ 12

Iz Requirements K-12

ضروری حفاظتی ٹیکے چائلڈ کیئر/پری اسکول

Iz Requirements Child Care/Preschool

حفاظتی ٹیکوں سے استثنیٰ کے لیے پڑھنا ضروری ہے۔

Required Reading for Immunization Exemptions

حفاظتی ٹیکوں سے استثنیٰ کا فارم

Immunization Exemption Form

آف کیمپس اجازت فارم

Off Campus Form

ادویات کا آرڈر فارم

Medication Order Form

हिंदी भाषा (Hindi)

स्वास्थ्य प्रपत्र

आवश्यक टीकाकरण किंडरगार्टन-ग्रेड 12

Iz Requirements K-12

आवश्यक टीकाकरण चाइल्ड केयर/प्रीस्कूल

Iz Requirements Child Care/Preschool

टीकाकरण छूट के लिए आवश्यक पठन सामग्री

Required Reading for Immunization Exemptions

टीकाकरण छूट प्रपत्र

Immunization Exemption Form

ऑफ कैंपस प्राधिकरण प्रपत्र

Off Campus Form

दवा ऑर्डर फॉर्म

Medication Order Form

ગુજરાતી (Gujarati)

આરોગ્ય ફોર્મ

જરૂરી રસીકરણ કિન્ડરગાર્ટન-ગ્રેડ 12

Iz Requirements K-12

જરૂરી રસીકરણ ચાઇલ્ડ કેર/પ્રિસ્કુલ

Iz Requirements Child Care/Preschool

રસીકરણ મુક્તિ માટે જરૂરી વાંચન

Required Reading for Immunization Exemptions

રસીકરણ મુક્તિ ફોર્મ

Immunization Exemption Form

ઓફ કેમ્પસ ઓથોરાઈઝેશન ફોર્મ

Off Campus Form

દવા ઓર્ડર ફોર્મ

Medication Order Form

Kiswahili (Swahili)

Chanjo Zinazohitajika Shule ya Chekechea-Daraja la 12

Iz Requirements K-12

Chanjo Zinazohitajika Huduma ya Mtoto/Shule ya Awali

Iz Requirements Child Care/Preschool

Usomaji Unaohitajika kwa Msamaha wa Chanjo

Required Reading for Immunization Exemptions

Fomu ya Kusamehewa Chanjo

Immunization Exemption Form

Fomu ya Uidhinishaji wa Nje ya Chuo

Off Campus Form

Fomu ya Kuagiza Dawa

Medication Order Form

བོད་སྐད། (Tibetan)

འཕྲོད་བསྟེན་འགེངས་ཤོག

དགོས་མཁོའི་རིམས་འགོག་སྨན་ཁབ་བྱིས་གཉོར་འཛིན་རིམ་བཅུ་གཉིས།

Iz Requirements K-12

དགོས་མཁོའི་རིམས་འགོག་སྨན་ཁབ།

Iz Requirements Child Care/Preschool

རིམས་འགོག་ཁས་ལེན་ཆོག་པའི་དགོས་མཁོའི་ཀློག

Required Reading for Immunization Exemption

རིམས་འགོག་ཁས་ལེན་མེད་པའི་འགེངས་ཤོག

Immunization Exemption Form

སློབ་གྲྭའི་ཕྱི་རོལ་གྱི་ཆོག་མཆན་འགེངས་ཤོག

Off Campus Form

སྨན་མངག་འགེངས་ཤོག

Medication Order Form

Kreyòl Ayisyen (Haitian Creole)

Vaksinasyon ki obligatwa Jadendanfan-12yèm ane

Iz Requirements K-12

Vaksinasyon Obligatwa Swen Timoun/Preskolè

Iz Requirements Child Care/Preschool

Lekti Obligatwa pou Egzanpsyon Vaksinasyon

Required Reading for Immunization Exemption

Fòm Egzanpsyon Vaksinasyon

Immunization Exemption Form

Fòm Otorizasyon Off Campus

Off Campus Form

Fòm Lòd Medikaman

Medication Order Form

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