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Student Forms

While most student forms can and should be completed through PowerSchool Forms, the Sidney-Shelby County Health Department requires additional forms for students with health needs. 

Health Department Forms

Allergy/Anaphylactic Reaction Form
Asthma Action Plan
EPI Pen Authorization
G-Tube Action Plan
G-Tube Feeding Orders
Non-Prescribed Medicine Form
Physician's Request for Administration of Medicine
Religious or Philosophical Exemption Form
Seizure Action Plan
Trach Action Plan

Other Student and Family Forms