Student Health Forms

NC Immunization Schedule

• Required School Immunizations

Health Assessments

• Health Assessment Transmittal Form
  required for kindergarten and new to NC entry

Health Forms for Providers

Dietary

• Medical Statement - Diet Order: English | Spanish

Emergency Action Plans (provider signature required)

• Allergy: English | Spanish
• Asthma
• Diabetes Medical Management Plan
• Seizure
• Heart, Ortho, or Other

Medications

• Medication Record 2020-21: English | Spanish | Russian
• Self-Medicating Order Form: English | Spanish

Sports Physicals

• Sport PreParticipation Examination Form (English/Spanish)

Parent Information

• Asheville City Schools Policies
• Buncombe County Schools Policies
• ​Fluid Milk Substitution Form
• Prescription Pill Addiction
• Risks for Addiction in Student Athletes
• Safely Treating Athletic Injuries

Individual Health Plans (provider signature NOT required)

• Allergy: English | Spanish | Russian
• Asthma: English | Spanish
• Diabetic Type II
• Heart, Ortho, Other
• Hemophilia
• Other (Spanish)
• Seizure: English | Spanish
• Sickle Cell
• Health Assessment Transmittal Form