Student Name
NON-COMPLIANT
Conditional Health Questions
These questions are important and determine which requirements you must complete.
Has your child been diagnosed with any medical conditions, such as asthma, diabetes, epilepsy, or heart conditions?
Does your child have any known allergies (e.g., food, medications, environmental factors)?
Has your child ever experienced a severe allergic reaction (anaphylaxis) that required an EpiPen (epinephrine auto-injector)?
Is your child currently taking any medications on a regular basis?
Does your child have a medical or religious exemption from immunizations?
Does your child have any physical limitations or mobility challenges that the school should be aware of?
Does your child use an inhaler for respiratory conditions (e.g., asthma)?
Will your child particpate in High School Athletics?