Louisburg School Health
| Forms Required for Elementary Students | |
| Physical Assessment Form | Physical required for children entering Pre-K and Kdg. Must be from licensed physician within the past 6 months. |
|
Immunization Form-Kansas Certificate of Immunizations (KCI) |
KCI must be completed by physician or health department. Must be up-to-date on immunizations prior to entering school. |
| State requirements for 2012-2013 school year including revisions. | |
| Birth Certificates For Kansas application: http://www.kdheks.gov/vital/birth.html all other state applications: www.vitalchek.com |
Required for school entry |
| Over-the-Counter Medication Form | Must be completed by parent for child to receive OTC medication at school. |
| Health Update Form | Gives nurse health history of your child |
| Forms for Special Health Needs | |
| Prescription Medication Form | Prescription medications must be brought to school by a parent. The medication must come to school in the current prescription bottle with your child’s name, name of the medication, amount of medication to be given, and time it should be given. You may ask the pharmacist to divide the medication into a bottle for home and one for school. |
| Kansas Asthma Action Plan | If your child has asthma, Kansas law requires that your child have a care plan completed by your child’s physician. |
