HEALTH FORMS

Diet Orders: English | Spanish | Russian 

Medications:

• Medication Log: English | Spanish | Russian 

• Self Carry: English | Spanish | Russian | Romanian

Emergency Action Plan:

• Allergy: English | Spanish

• Asthma

• Seizure

Individual Action Plans:

• Allergy: English | Spanish | Russian | Romanian 

• Asthma: English | Spanish

• Cardiac: English | Spanish

• Hemophilia: English | Romanian

• Non-Epileptic Seizure 

• Orthopedic 

• Individual: English | Spanish

• Migraine

• Seizure: English | Spanish

• Sickle Cell

Health Assessments:

• NC Health Assessment: English | Spanish 

  • • Required for all entering a North Carolina public school for the first time. 

• Sports Pre-Participation Examination Form: English | Spanish 

                    MAHEC School Health Program | Buncombe County School Policies

                      Completed health forms can be turned into the front office or faxed to the school at 828-686-7834. They can also be sent via fax or emailed to Nurse Taylor at taylor.brown@bcsemail.org or 828-407-2713.