This form must be completed by a Parent/Guardian to advise the Health Office on a student's allergies and medications, as well as a student's history of serious illness, operations, or other special health concerns. The form also specifies a student's Emergency Contact Person. The information on this form is confidential and will remain on file in the Health Office.

This form must be completed by a Parent/Guardian to advise the Health Office on a student's allergies and medications, as well as a student's history of serious illness, operations, or other special health concerns. The information on this form is confidential and will remain on file in the Health Office.

The information requested on this form will be of assistance to the school district in determining the health status of your child and assisting him/her to receive maximum benefits from this educational opportunity.

This document details vaccination requirements that will apply to all students in the Northern Lehigh School District.

Private Dentist Report of Dental Examination of a Pupil of School Age.

The Pennsylvania School Health Act requires a dental examination of every student entering school for the first time, third grade and seventh grade. The Law gives you a choice of having the examination done by the school dentist or by your family dentist at your own expense.

The Pennsylvania School Health Act requires a medical examination of every student entering school for the first time, sixth grade and eleventh grade. The Law gives you a choice of having the examination done by the school physician or by your family physician at your own expense.

This form must be completed and certified by an Authorized Medical Examiner for all pupils of school age.

This form must be completed by a Parent/Guardian and signed by a Physician to allow the Health Office to administer medication to a student during school hours. Some information requested on this form includes the name of the medication, dosage, administration schedule, possible side effects, and additional medication taken by the student.