Health Aide & Concussion Coordinator

Marianne Hislop,, 303.982.5230

District Registered Nurse

Carole Coukos,, 720-483-5341

Medication Agreement Forms

For medication to be administered in the School Health Room by the Health Aide. All medication is provided by parent/guardian.

Medication Agreement

Health Care Plans

For students with health concerns that need to be monitored and procedures followed in the event of a health emergency.

Colorado School Asthma Care Plan

Colorado Allergy and Anaphylaxis Emergency Care Plan and Medication Orders


What is a concussion? What are the signs and symptoms?

CHSAA Concussion Policy

Jeffco Immunization Forms:

New - Families can now access their student's immunization information in the Colorado Immunization Information System (CIIS). Click here and follow the directions for a downloadable immunization certificate.

** Immunization Exemption Information **The process for personal or religious immunization exemptions has changed. Please see the bullet points under exemption for more information.

Medical Exemption Form

  • Students with a completed Certificate of medical exemption (signed by a medical doctor, doctor of osteopathic medicine, advanced practice nurse or delegated physician's assistant) need to submit this Certificate only once unless the student’s information or school changes.

Non-Medical Exemption Form (Religious/Personal Beliefs)

NOTE: If you sign a Non-Medical Exemption Form for any school year, you will need to fill out another for the following school year. Non-Medical Exemption forms do not roll over for the following year. If your student has received their immunizations, please proved an update immunization record.

Non-medical exemptions must be submitted annually at every new school year (July 1 through June 30th of the following year). There are two ways to file a nonmedical exemption.

○ File the Certificate of Nonmedical Exemption WITH a signature from an immunizing provider, OR

○ File the Certificate of Nonmedical Exemption received upon the completion of our online education

module. Downloadable certificates and our online education module are available at

Immunization Clinics

Shots for Tots & Teens

Community Health Clinics

  • Carin’ Clinic

Appointments 303-423-8836

5150 Allison St, Arvada

645 Parfet Street, Lakewood

Call for an appointment 303-232-6301

Stride Community Health

11030 Kitty Drive, Conifer

Call for an appointment 303-778-7433

Shots for Tots

No cost and low cost vaccine clinics

Mental Health Resources:

Resilience1220 provides free counseling services to youth ages 12-20 in the mountain communities west of Denver:

Colorado Crisis Services - A statewide resource that provides walk-in services for crisis intervention, referrals, or information. Crisis line: 1-844-493-8255 and Text “TALK” to 38255. The crisis support line and walk-in centers are confidential and are available 24/7/365.

The Action Center - The Jeffco Action Center is the largest Jeffco Community hub and offers five-day food supplies, clothing, household items, mail services, rent assistance, utility assistance, and connections to community outreach partners. Food services are available for drive-thru and walk-up service. Appointments required. 720.215.4850.

Safe to Tell – anonymous way for students, parents and community members to report unsafe and risky behaviors before they grow out of control. 1-877-542-7233

National Suicide Prevention Lifeline Provides 24/7, free and confidential support for anyone experiencing distress and suicidal thoughts. Additionally, the organization offers prevention and crisis resources. 1-800-273-8255

Jefferson Center for Mental Health (JCMH) – Offers a full range of services and resources to support the mental health of children, youth and families. 303-425-0300 | Español

El Centro de las Familias – Part of the Mental Health Center of Denver, this is a multi-cultural clinic providing Spanish-language and bilingual outpatient mental health care to Denver’s Latino/Hispanic community. 303-504-7900