Embedded Files
Authorization_for_Use_and_or_Disclosure_of_Information_ROI.pdfAuthorization for Use and/or Disclosure of Information
Allows the school district to receive and/or release information to a provider to discuss the student's current physical, mental, and/or behavioral health.
Allows the school district to receive and/or release information to a provider to discuss the student's current physical, mental, and/or behavioral health.
Medical_Limitations_for_Physical_Education.pdfMedical Limitation Note for Physical Education Class
Please note this is not the required form for PE limitations. This is a sample of the information that should be included in a doctor's note.
Please note this is not the required form for PE limitations. This is a sample of the information that should be included in a doctor's note.
Meal Accommodation .pdfMedical Statement to Request Special Meals and/or Accommodations
This form should be completed if your student has a medical condition or disability that requires a special meal and/or accommodation OR has a food intolerance or other medical reason.
*Food preferences are not an adequate use for this form.
This form should be completed if your student has a medical condition or disability that requires a special meal and/or accommodation OR has a food intolerance or other medical reason.
*Food preferences are not an adequate use for this form.
Page updated
Report abuse