Health Services Forms

Health related forms are PDF files - available for download and print. Please take all completed forms to your child’s school Health Office

TB Risk Assessment

For newly enrolled students in Santa Clara County, this form needs to be completed by your child’s healthcare provider.

Exchange of Information


Required for all 1st grade students. Please be sure to wait until after March 1st of your child’s Kindergarten year to have this completed by the doctor.

Medication Permits

Medication at school requires prior authorization.  Please review the information below regarding state requirements for having medications for your child at school.  Bring the medication and completed medication form to your child’s school office.

Oral Health (Dental)

Required for all 1st grade students. Form to be completed by dentist by May 31st of the school year.