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School Health - District

 

Louisburg School Health Guidelines/Recommendations

Links to additional Health Resources:
/vnews/display.v/ART/57db4fe741980

 Forms Required for Elementary Students


District Physical Assessment Form
(revised 8/17/17)

 

Physical required for children entering Pre-K, Kdg and New Out-of-State students. Must be from licensed physician within the past 12 months.

Immunization Form-Kansas Certificate of Immunizations

(KCI)

KCI must be completed by physician or health department. Must be up-to-date on immunizations prior to entering school. For Pre-K, Kdg and New Students.

Immunization Requirements for 2017-18

State requirements for 2017-2018 school year
including revisions.

 

Birth Certificates
For Kansas application:
www.vitalchek.com

Required for school entry

Forms Required for LMS & LHS Students

2017-18 Physical Forms

Must be completed for students participating in sports, cheerleading and drill team, prior to try-outs &/or practice.

Immunization Form - Kansas Certificate of Immunizations

(KCI)

KCI must be completed by physician or health department. Must be up-to-date on immunizations prior to entering school.

Forms for Student Special Health Needs

District Authorization of Medication
at School Form

Prescription medications must be brought to school by a parent. The medication must come to school in the current prescription bottle with your child’s name, name of the medication, amount of medication to be given, and time it should be given. You may ask the pharmacist to divide the medication into a bottle for home and one for school.

Kansas Asthma Action Plan

If your child has asthma, Kansas law requires that your child have a care plan completed by your child’s physician.

Epi-Pen Food Allergy Plan

Required by law for children with life-threatening allergies.  Plan needs to be completed by physician for treatment of possible reaction.

Food Substitution Plan

Special dietary needs cannot be accommodated until plan completed by doctor provides a list of foods students must omit from diet and a list of approved substitutions, including milk and peanut butter.

Seizure Care Plan

If your child has a seizure disorder the doctor must complete a seizure care plan.


Health Insurance Info
KanCare www.kancare.ks.gov

Children’s health insurance assistance
through KanCare.

Diabetes Care Plan