Medical-History-Form

Step 1-Student Information form

Step 2-Concussion Statement

Step 2 (B)-ACT 837 FORM

Step 3-Discipline Policy

Step 4-Substance Abuse Form

Step 5-Parent Permission

Step 6-Parent Permission pg 2

Step 7-Medical History Form

Step 7(B)-Birth Certificate

Step 7(C) 7th-8th Grade Checklist

Step 7(D) Emergency Info Form

Step 8-Make Copies

Step 9-Make a Folder

Step 10-Scan documents

BLANK STUDENT INFO packet

Misc. Forms & Documents

STEP 7-MEDICAL HISTORY FORM

Student, Parent, and Physician should COMPLETE this form in its ENTIRETY.

Parent SIGN here

Parent PRINT name here

Parent put DATE here

Physician PRINT name here

Physician SIGN name here

Physician put DATE here