Medical Forms/Health Information

Please ask the JIES-H front office for, or download and print below, medical forms for your student. Most forms must be signed by a physician.

2021 - 100-IHP Diabetes

Allergy and Anaphylaxis Emergency Care Plan and Medication Orders

Asthma Care Plan

Confidential Health Information

Medical Permission Form

Over-the-Counter Meds Information Form

Seizure Action Plan

Vision and Hearing Screening at JICS