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Forms, Policies and Procedures

The following forms and information items may be printed for your use.  We urge all staff, parents and physicians to print and use our District forms as needed.

 

RUSD HEALTH FORMS


 

*Physician's Recommendation for Medication Form (Elementary School) (English // Spanish)
*Physician's Recommendation for Medication Form (Secondary School) (English // Spanish)

*Oral Health Assessment (OHA) Form (English // Spanish)

*Oral Health Assessment Waiver Form (English // Spanish)

*P.E. Modification Form (Physician) (English)

*Special Meals Accommodation Form (Physician) (English)

*Student Health History (English & Spanish)

*Student Asthma Information (English // Spanish)

*Report of Health Examination for School Entry (Physician) (English & Spanish)

*Waiver of Health Examination for School Entry (English & Spanish)

*Secondary Sports Physical Examination Form SS-1

*Authorization for Use and/or Disclosure of Information (Parent-for release of medical records)

 

HEALTH INFORMATION ITEMS


 

*District Lice Policy (Part 1 // Part 2)

Health Policy Guidelines - English // Spanish

*Immunization Information

*Kindergarten Physicals 

*Pertussis (Whooping Cough) Information 

*Tdap Vaccine Information 

*Communicable Diseases 

*Parent’s Guide to MSRA in California