District Forms

These documents are made available for your convenience. Please print and use them as necessary.

District Wide Absence / Tardy Excuse

Financial Aid

Free and Reduced Lunch Application

Student Health

Anaphylaxis Emergency Plan
- Anaphylaxis Emergency Plan - Spanish Version
Asthma Action Plan
- Asthma Action Plan - Spanish Version
Eastern Asthma Epi Pen Self Administration Form
- Eastern Asthma Epi Pen Self Administration Form - Spanish Version
- Eastern Asthma Epi Pen Self Administration Form - Ukrainian Version
Seizure Action Plan
- Seizure Action Plan - Spanish Version
Cardiac Individual Health Plan
- Cardiac Individual Health Plan - Spanish Version
Diabetic (No generalized form- Parents should have specific orders sent to the school nurse)
Family Dental Form
- Family Dental Form - Spanish Version
- Family Dental Form - Ukrainian Version
Physician Request for Medication During School Hours
- Physician Request for Medication During School Hours - Spanish Version
- Physician Request for Medication During School Hours - Ukrainian Version
Pennslyvania Department of Health School Physical Examiniation Form
- Pennslyvania Department of Health School Physical Examiniation Form - Spanish Version

Student Forms & Permits

Welcome to the District

Additional Documents

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