Health Services

Health Forms

Over the Counter Medication	Prescription Medication
Anaphylaxis Action Plan	Asthma Inhaled Medication
Emergency Seizure Medication Care Plan	Immunization Form

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Immunization Information

2-4 years	K-Grade 6	Grade 7-11	Grade 12
4 DTP/DTaP/DT	4 DTP/DTaP/DT	4 DTP/DTaP/DT	4 DTP/DTaP/DT
3 Polio	4 Polio	4 Polio	4 Polio
1 MMR	2 MMR	2 MMR	2 MMR
1 Var	2 Var	2 Var	2 Var
3 Hep B	3 Hep B	3 Hep B	3 Hep B
3 Hib		1 Mening	2 Mening
3 PCV		1 Tdap	1Tdap

The School District requires a vaccination record for boosters or the appropriate waiver(s). If you have questions about your child’s immunization record, please contact your healthcare provider. You may view your child’s current school immunization record under the Health tab on Skyward Family Access.

Student Immunization Record Form School Immunization Requirements

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What are School Nurses?

• They are registered professional nurses responsible for protecting and promoting the health of all students. They have licenses issued by the Wisconsin Department of Licensing and Regulation.
• They have obligations to students, parents, school staff, community and their nursing profession.