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Forms
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Form for Evaluation and Service Recommendations
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40 KB)
A form to facilitate communication between health care providers and school professionals relating to health concerns that impact a student's education. -
Information Release Form (Schools)
( 51 KB)
When signed by the parent/guardian, this form will authorize communication between the physician and school officials regarding your patient. -
Accommodating Children with Special Dietary Needs in the School Nutrition Programs
( 849 KB)
From the U.S. Department of Agriculture Food and Nutrition Service, this document provides information about modifying school meals for students with disabilities and other dietary requirements including food allergies. The document includes a sample Eating and Feeding Evaluation form (Figure 1, page 34) to be completed by the child's parent and physician and a sample Information Card (Figure 2, page 35) for use by school food service staff in preparing meals for the child. -
Medication Administration Form
(
40 KB)
Sample form to be completed by the parent and medical provider to administer medications to students. From the Utah Schools for the Deaf and Blind.