Student health history - Box Elder School District 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your student's name and date of birth in the designated fields. This information is crucial for identifying your child.
3. Fill in the current mailing address, school, and grade. Ensure accuracy as this helps the school maintain proper records.
4. Provide the student's home phone number and their physician/clinic details, including the phone number. This allows for quick communication if needed.
5. Check all applicable medical concerns from the list provided. Be thorough to ensure that the school nurse is aware of any health issues.
6. If you wish to create or update a Health Care Plan, check the appropriate box. This ensures that your child's health needs are met effectively.
7. List any medications your student is currently taking for their conditions. Remember, a medication form must be completed separately for administration at school.
8. Finally, sign and date the form to confirm that you understand and agree with the statements provided.

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