School Health Program

Health Forms for Providers

Dietary

• Medical Statement - Diet Order: English | Spanish | Russian

Emergency Action Plans (provider signature required)

• Allergy: English | Spanish
• Asthma
• Seizure

Medications

• Medication Records: English | Spanish | Russian
• Self-Medicating Order Form: English | Spanish

Sports Physicals

• Sports PreParticipation Examination Form: English | Spanish

Individual Health Plans (provider signature NOT required)

• Allergy: English | Spanish | Romanian | Russian
• Asthma: English | Spanish
• Cardiac: English | Spanish
• Heart, Ortho, Other
• Hemophilia: English | Romanian
• Non-Epileptic Seizure: English
• Orthopedic
• Other: English | Spanish
• Migraine
• Seizure: English | Spanish
• Sickle Cell

Parent Resources

• Required North Carolina School Immunizations and Schedule
• Health Assessment Transmittal Form: Required for kindergarten and new to NC entry.
• Asheville City Schools (ACS) Policies
• Buncombe County Schools (BCS) Policies
• BCS Special Diet Forms
• Prescription Pill Addiction
• Risks for Addiction in Student Athletes
• Safely Treating Athletic Injuries