Childcare and Student Health Forms
Childcare Medical Forms
The Division of Child Development and Early Education at the North Carolina Department of Health and Human Services has a variety of medical forms. Click here and scroll down to view downloadable Medical Action Plans.
Student Health Forms
- Fluid Milk Substitution Form
Head Start Forms
- Health Assessment Transmittal Form
- Information Release Form
- Medication Record 2019-20 (English)
- Medication Record 2019-20 (Spanish)
- Medication Record 2019-20 (Russian)
- Medication Record Summer Session Only
- School Immunizations
- Self-Medicating Order Form (English)
- Self-Medicating Order Form (Spanish)
- Medical Statement - Diet Order (English)
- Medical Statement - Diet Order (Spanish)
Notices for Parents
- Notice to Parents - Prescription Addiction
- Notice to Parents of Student Athletes - Addiction Risks
- Notice to Parents of Student Athletes - Treating Injuries
Emergency Action Plans for MDs to Complete
- Allergy EAP
- Asthma EAP
- Asthma EAP Non Self Carry
- Diabetes Medical Management Plan
- Seizure EAP
- Seizure EAP + VNS Training
- Seizure EAP Intranasal Midazolam Administration
- Sport PreParticipation Examination Form (English)
- Sport PreParticipation Examination Form (Spanish)
- Heart, Ortho, or Other EAP
Other Student Health Forms
Additional Buncombe County school health forms can be found here.