Forms

Below please find links to our most used Health Office forms:

Authorization for Release of Information (HIPPA) (English):

www.sandiegounified.org/common/pages/DisplayFile.aspx?itemId=30985591

Authorization for Release of Information (HIPPA) (Spanish):

www.sandiegounified.org/common/pages/DisplayFile.aspx?itemId=30985593

Kindergarten Medical Exam Requirement Form (CHDP – English and Spanish):

www.sandiegounified.org/UserFiles/Servers/Server_27732394/File/Departments/Nursing%20and%20Wellness/Student%20Health%20Requirements/CHDP%20Report%20(Bilingual).pdf

Oral Health Assessment Form (KOHA – English and Spanish):

www.sandiegounified.org/UserFiles/Servers/Server_27732394/File/Departments/Nursing%20and%20Wellness/Student%20Health%20Requirements/Oral%20Health%20Assessment%20(Bilingual).pdf

Medications Information and Forms:

www.sandiegounified.org/cms/One.aspx?portalId=27732478&pageId=28606076

Health Information Exchange Consent Form:

www.sandiegounified.org/common/pages/DisplayFile.aspx?itemId=30971826

Health Information Exchange Consent Form (Spanish):

www.sandiegounified.org/common/pages/DisplayFile.aspx?itemId=30971828

Meal Accommodations:

Fluid Milk Substitution:

www.sandiegounified.org/common/pages/DisplayFile.aspx?itemId=31047239

Physician Authorization for Meal Accommodation:

www.sandiegounified.org/common/pages/DisplayFile.aspx?itemId=31047237