Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
My Students
Messages
Support
Username
Parent
My Profile
Reset Password
Log Out
Conditional Health Questions
Please answer the following questions about your student.
Sally Student
Class of 2026
•
July 17, 2007
Medical Conditions
Has your child been diagnosed with any medical conditions, such as asthma, diabetes, epilepsy, or heart conditions?
No
Yes
Medications
Is your child currently taking any medications on a regular basis?
No
Yes
Allergies
Does your child have any known allergies (e.g., food, medications, environmental factors)?
No
Yes
Anaphylaxis
Has your child ever experienced a severe allergic reaction (anaphylaxis) that required an EpiPen (epinephrine auto-injector)?
No
Yes
Physical Limitations
Does your child have any physical limitations or mobility challenges that the school should be aware of?
No
Yes
Respiratory Conditions
Does your child use an inhaler for respiratory conditions (e.g., asthma)?
No
Yes
Athletics
Will your child participate in High School Athletics?
No
Yes
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.