Student Medical Forms

Student Medical Forms and Health Information

Health Examination for School Entry Form 2023-24

First Grade Health Check-Up Form 2022-23

Food Allergy Action Plan

Completed form should be sent to your school office or district office.

Food Services Special Meals Accommodation and Food Allergy Form

If your child has a food allergy or needs special meal accommodations, complete this form and return it to Lupe Pena, Sodexo Food Services Manager. Email lpena@saratogausd.org

Oral Health Assessment

The completed form should be sent to your school office or district office.

Request to Carry Epi-Pen Form

Completed form should be sent to your school office or district office. In addition, please reference these important reminders from the FDA.

Request to Carry Inhaler Form

Completed form should be sent to your school office or district office.

requestforinhaler.pdf 

Request for Medication Form

Completed form should be sent to your school office or district office.

requestformedication.pdf 

TB Risk Assessment Form

The completed form should be sent to your school office or district office.

TB_Risk_Assessment_2021.pdf 

Immunization Exemption Information

SUSD Immunization exemption letter.pdf 

Community Clinics for Vaccinations or Pediatric Care

immunizationclinics2014.pdf 95.77 KB