Forms

Dental Exam Form
Dental Exam Form
dental-exam.pdf

Physical Examination Form
Physical Exam Form
physical_exam.pdf

PROCEDURES FOR SCHOOL HEALTH SERVICES
http://www.montasd.org/wp-content/uploads/2016/04/healthcare-procedure-manual.pdf

Attachment A
Temporary School Exclusion Notice
policies-attach-a.pdf

Attachment B
Head Lice Notification
policies-attach-b.pdf

Attachment C
Head Lice Classroom Notification
policies-attach-c.pdf

Attachment D
Diabetic Information
policies-attach-d.pdf

Attachment E
Physician Medication Permit
policies-attach-e.pdf

Attachment E1
Asthma Action Plan
policies-attach-e1.pdf

Attachment E2
Asthma Inhalers-Self-Administration by Students
policies-attach-e2.pdf

Attachment F
Private Physician’s Written Request for Administration of Treatment
policies-attach-f.pdf

Attachment G
Parent Authorization for Medication During School Hours
policies-attach-g.pdf

Attachment H
Medication Log
policies-attach-h.pdf

Attachment I
Medication Control Log
policies-attach-i.pdf

Attachment J
Vision Screening Referral
Eye Specialist Report
policies-attach-j.pdf

Attachment K
Hearing Referral Report to Parents and Physician
policies-attach-k.pdf

Attachment M
Physician Scoliosis Screening Report
policies-attach-m.pdf

Attachment N
Parent Medical/Dental Examination Information/Permission Form
policies-attach-n.pdf