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Welcome to the Akron-Westfield Nurse's Station.
Welcome to the Akron-Westfield Nurse's Station.
Here you will find the health forms and documentation needed for your student at Akron-Westfield.
Here you will find the health forms and documentation needed for your student at Akron-Westfield.
See explanations of all requirements below.
See explanations of all requirements below.
Please also see the headings at the top of the page.
Please also see the headings at the top of the page.
There you will be able to download and print any necessary forms.
There you will be able to download and print any necessary forms.
Heather Morehead BAN, RN
Heather Morehead BAN, RN
Akron-Westfield School Nurse
Phone: (712) 568-2020 Ext. 518
Fax: (712) 568-2997 - Attention: School Nurse
The annual health update form must be completed yearly for any student with a health concern needing attention from the school nurse. In addition, if you would like to give permission for your child to receive any prescription medication while at school, you will need to complete the prescription medication form.
Annual Health Update Form
Prescription Medication Form
All students entering Discovergarten and Kindergarten at Akron-Westfield must provide a current physical and immunization record, or a valid exemption form. In addition, state law requires dental and vision exam forms to be completed.
Explanation of Health Requirements for School Entry
A-W Physical form
Certificate of Dental screening form
Certificate of Vision screening form
Feel free to click the link below for access to additional immunization information and forms, including exemption forms:
FARE Food Allergy form - must be completed and signed by both parent and physician. This is required for any student that has a prescription for an epi-pen due to a severe allergy. Please also complete the permission form for Prescription Medications to be kept in the nurse's office.
Asthma Plan form - if your child will keep an inhaler in the nurse's office at school, you will need to complete an asthma action plan. Please also complete the permission form for Prescription Mediations to be kept at school.
Iowa law requires a vision exam to be done for all students entering 3rd grade in Iowa. We recommend this exam be completed by an eye doctor, but it can also be done by a family physician.
Certificate of Vision Screening
Parent permission forms must be completed and signed every school year in order for your child to participate in any sports. In addition, your child must have a sports physical completed by their physician yearly. Please submit documentation electronically via the Bound system.
Athletic Pre-Participation Physical Examination Form
Per state law, all students entering 7th grade must receive both Tdap and meningococcal vaccine boosters.
According to the law, all students entering 7th grade must receive a meningococcal vaccine booster BEFORE the first day of school. There is no exception to this rule. Students will not be allowed to attend school until proof is provided that the vaccine has been administered, or a valid exemption has been provided.
All 7th grade students born after September 15, 2004, will need to submit a completed Certificate of Immunization with the meningococcal conjugate vaccination, or a valid Certificate of Exemption form.
Tdap vaccine handout
Meningococcal vaccine handout
Feel free to click the link below for access to additional immunization information and forms, including exemption forms:
All students entering 9th grade must have a dental screening completed by a dentist or dental hygienist. If your child visits a dentist, please ask them to complete the certificate.
Certificate of Dental Screening
All 12th grade students born after September 15, 1999, will need to submit a completed Certificate of Immunization with the meningococcal conjugate vaccination (MenACWY), or a valid exemption form. At least one dose of Meningococcal vaccine must be administered before the first day of school, or by state law, the student is not allowed to attend.
Meningococcal vaccine handout
Feel free to click the link below for access to additional immunization information and forms, including exemption forms:
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