Health Resources/Forms
Student Health (Policy 3410)
- School Entry Information Letter for Parent/Guardian & Medical Providers (English & Spanish)
- Authorization for Exchange of Information: English / Spanish
- Student Health History(English & Spanish)
Student Immunization & Life Threatening Health Conditions (Policy 3413)
- Letter to Parents of students with life threatening health conditions.
- Immunization requirement and life-threatening health condition (WAC 392-380)
IMMUNIZATION REQUIREMENTS
- Vaccines Required for 2023-2024 School Year (grades PreK-12): English / Spanish
- Parent Immunization letter & Certificate of Immunization (CIS): English / Spanish
- Certificate of Exemption: English / Spanish
ASTHMA
Annually Required Forms
- Asthma Parent Assessment Form (English & Spanish) - To be completed by parent.
- Asthma Care Plan and Orders - To be completed by medical provider and signed by parent.
Asthma Resources
- Asthma Triggers
- Asthma Control Test Assessment for Parents: English /Spanish
- Asthma Action Plan for Children Under 5
- Students with asthma (RCW 28A.210.370)
SEVERE ALLERGY
Annually Required Forms
- Allergy Assessment Form - To be completed by parent.
- Bee/Instect Allergy Assessment Form - To be completed by parent.
- Severe Allergy Care Plan and Orders - To be completed by medical provider and signed by parent.
Food Allergy Resources
- Staff/Parent Guidelines Life Threatening Food Allergies: English / Spanish
- Summary of Parent Guidelines Life Threatening Food Allergies: English / Spanish
- Care of Students with Anaphylaxis Manuel
- Food Substitution Form available through Nutrition Services.
- Washington Food Allergy Enrollment Law
SEIZURE DISORDER
Annually Required Forms
- Seizure History & Assessment Form (English & Spanish) - To be completed by parent.
- Medication Authorization Form: English / Spanish - To be completed by medical provider and signed by parent.
Infectious Diseases (Policy 3414)
Accommodating Students with Diabetes (Policy 3415)
Annually Required Forms
- Diabetes Managemet Agreement - To be completed by parent.
- Diabetes History & Assessment Form - To be completed by parent.
- Diabetes Care Plan & Orders - To be completed by medical provider and signed by parent.
Diabetes Resources
- Blood Glucose Flow Chart 1
- Blood Glucose Flow Chart 2
- Students with diabetes (RCW 28A.21.325)
- Students with diabetes (RCW 28A.210.330)
Medication At School (Policy 3416)
- Orders -- Medication Authorization Form: English / Spanish - To be completed by medical provider and signed by parent.
- Administration of oral medication by public and private schools (RCW 28A.210.260-270).
Home Hospital Services
- Home Hospital Parent Letter Requesting Services (English/Spanish)
- Home Hospital Letter to Medical Provider
- Home Hospital Medical Provider Orders
- Home Hospital (WAC 392-172A-02100)
Head Lice Information
Educational Materials and Guides
- Head Lice: What Parents Need to Know - includes guidance on treatment
- CDC facts about head lice
- CDC Head lice home page
- How to check for Lice: English / Spanish
- No Panic Guide to Lice Treatment - Johns Hopkins
- The Nit Picking Chart (English & Spanish)
School Guidance & Procedures
- WWPS Lice Protocol
- Parent Notification of Lice Form (English & Spanish)
- Head Lice Management in Schools- NASN
- OSPI- Infectious Disease Control Guide (Lice referenced on pg. 75)
If you need more information about head lice contact your child’s school, public health or your primary care provider
Student Concussions and Head Injuries (Policy 3422)
- Head Injury Letter to Parents (English & Spanish)
Miscellaneous