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Health
Medical Forms and Resources
Medication Forms:
If your child needs to take medication during school hours, fill out the form below with your healthcare provider and deliver it to the school. This form must be renewed annually.
| Medication Authorization Form | English | Spanish |
Medications must be picked up at the end of each school year. Medication must come to the front office with form completed and signed by parent/guardian and healthcare provider, and:
- be properly labeled in a bag with the student's name and grade
- in original container with expiration date
- prescription medications must have the name/telephone of the pharmacy, the student's name, and name and phone number of the healthcare provider.
Emergency Health Plan Forms:
| Allergy/Anaphylaxis Action Plan | English | Spanish |
| Asthma Action Plan | English | Spanish |
| Seizure Action Plan | English | Spanish |
Release of Information Forms:
| Kaiser Permanente | English | Spanish |
| Napa County SELPA | English | Spanish |
Concussion Resources
English Concussion Information
Espanol Informacion Sobre Conmocion Cerebral
CIF Return to Learn, (Spanish)
CIF Return to Play, (Spanish)
Dental Van Information
Diabetes Information
Parent information (CA Ed Code Section 49452.6)
Parent Information (CA Ed Code Section 49452.7)
