Medication Agreement Forms
For medication to be administered in the School Health Room by the Health Aide. All medication is provided by parent/guardian.
Health Care Plans
For students with health concerns that need to be monitored and procedures followed in the event of a health emergency.
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.
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
Community Health Clinics
5150 Allison St, Arvada
645 Parfet Street, Lakewood
Call for an appointment 303-232-6301
11030 Kitty Drive, Conifer
Call for an appointment 303-778-7433
No cost and low cost vaccine clinics