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Medical Forms for the School Year

As we are winding down the school year, summertime is a great time to catch-up on yearly well child visits and immunizations if needed. If your child will need to keep any medications at school or if they have any special dietary needs, please have your health provider sign the required forms. Here is a list of commonly needed forms for school:

  • If your child has ASTHMA please have your provider fill out an ASTHMA MANAGEMENT PLAN.
  • If your child has MODERATE-SEVERE ALLERGIES, please have your provider fill out an ANAPHYLAXIS MANAGEMENT PLAN. 
  • If your child has severe food allergies and we need to make sure that certain foods are avoided please have your provider also complete the SPECIAL DIET FORM.
  • For DIETARY REQUESTS please have your healthcare provider will out the SPECIAL DIET FORM.
  • If your child will need to keep any MEDICATIONS at school next year please have your provider fill out the Medication Administration Form. 

* If your provider filled out the Asthma Management plan or anaphylaxis management plan for the required medication, the general medication form does not need to be completed.

Healthy students are successful students

Our school staff provide a variety of services that support a healthy learning community. We are committed to providing students with health conditions access to their education by facilitating their independence and creating a community of support by working collaboratively with the student, their family and district staff. School nurses promote optimal student health for optimal learning. 

In-Person Attendance

Throughout the COVID-19 Pandemic District 196 will be following the guidelines for attendance, exclusion and isolation established by the Minnesota Department of Health. Our nurses work with students and their families, staff and health care providers to develop plans supporting school attendance.

During the COVID-19 Pandemic

During the COVID-19 Pandemic it is especially important that: 

  1. You continue to consult with your health care provider regarding well-visits and immunizations
  2. Maintain good hygiene
  • Wash hands, don't touch your face
  • Regularly practice social distancing
  • Wear a face mask in public
  • Stay home when you aren't feeling well
  • Stay away from others who are ill 

Establish healthy habits early to ensure your child’s success

Instilling healthy habits and routines (adequate sleep/nutrition) and consistent attendance ensures a student’s success in school even as early as kindergarten. We know that too many absences/tardies, for whatever reason, can cause children to fall behind both academically and socially.

The school district will follow the guidelines from the Minnesota Department of Health for recommended exclusion and notification for vaccine-preventable diseases including mumps, measles, rubella, pertussis, diphtheria, viral hepatitis, chickenpox and meningitis. Families will not be notified and students are not excluded for lice, pink eye or strep throat.



Registered Nurse, RN, BSN, LSN
Office Phone: 952-431-8383  Fax: 952-431-8338                    

Guidelines for whether or not to send your child to school

We want children in school and ready to learn. The following guidelines have been established to help determine when children should remain at home. They may need to rest at home if they have:

  • Fever;
  • Vomiting;
  • Diarrhea, or are
  • Not feeling well enough to participate in the school day.

When your child is feeling ill please don’t hesitate to call the school nurse with questions or concerns. We would prefer the child remain at home for 24 hours after the symptoms have subsided. This helps prevent the spread of communicable diseases and allows the student the opportunity to rest and recover fully from the illness.