Chapel Hill Academy

Student Health History Form

Annual Student Allergy Information

Complete annually and return to the nurse before school begins if your child has a bee sting allergy.

Food Allergy Action Plan

Complete annually if your child has a food allergy that requires emergency medication at school. (MD signature/Parent signature required).

Asthma Action Plan

Complete annually and return to the nurse before school begins if your child requires asthma medication at school.   (MD signature/Parent Signature required).

Diabetes Medical Management Plan

Diabetic Student Contract

Student Agreement to Carry Inhaler Form

When Should I Keep My Child Home from School?

Required guidelines that assist parents in knowing when to keep their child home from school.  If in doubt, please contact the school nurse, Sue Sura, R.N., at 952-949-9014, X114.

Is it a Cold, or is it the Flu?

Guidelines to help parents recognize the difference in symptoms.

Differences Between a Cold, Seasonal Flu, & H1N1

Flu Symptom Screening Tool for Parents & Caregivers

Planned Absence Form

This form must be completed and turn in at the reception desk at least 2 weeks prior to a planned abence, i.e. vacation, out of town for a wedding, etc.