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.
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![Allergy/Anaphylactic Reaction Form]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1659962718/sidneycityschoolsorg/dzvmahusuoebhw1f0mat/AllergyAnaphylacticReaction.png","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_2/v1659962718/sidneycityschoolsorg/dzvmahusuoebhw1f0mat/AllergyAnaphylacticReaction.png","width":512},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_3/v1659962718/sidneycityschoolsorg/dzvmahusuoebhw1f0mat/AllergyAnaphylacticReaction.png","width":800},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1659962718/sidneycityschoolsorg/dzvmahusuoebhw1f0mat/AllergyAnaphylacticReaction.png","width":1080}])
![Asthma Action Plan]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1659962718/sidneycityschoolsorg/z7azajpm6pwwmepclqmb/AsthmaActionPlan.png","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_2/v1659962718/sidneycityschoolsorg/z7azajpm6pwwmepclqmb/AsthmaActionPlan.png","width":512},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_3/v1659962718/sidneycityschoolsorg/z7azajpm6pwwmepclqmb/AsthmaActionPlan.png","width":800},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1659962718/sidneycityschoolsorg/z7azajpm6pwwmepclqmb/AsthmaActionPlan.png","width":1080}])
![EPI Pen Authorization]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1659962719/sidneycityschoolsorg/nkhvdrkz8sklrxnuemyv/EPIPenAuthorization.png","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_2/v1659962719/sidneycityschoolsorg/nkhvdrkz8sklrxnuemyv/EPIPenAuthorization.png","width":512},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_3/v1659962719/sidneycityschoolsorg/nkhvdrkz8sklrxnuemyv/EPIPenAuthorization.png","width":800},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1659962719/sidneycityschoolsorg/nkhvdrkz8sklrxnuemyv/EPIPenAuthorization.png","width":1080}])
![G-Tube Action Plan]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1659962718/sidneycityschoolsorg/syle67jynteme0yoosim/G-TubeActionPlan.png","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_2/v1659962718/sidneycityschoolsorg/syle67jynteme0yoosim/G-TubeActionPlan.png","width":512},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_3/v1659962718/sidneycityschoolsorg/syle67jynteme0yoosim/G-TubeActionPlan.png","width":800},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1659962718/sidneycityschoolsorg/syle67jynteme0yoosim/G-TubeActionPlan.png","width":1080}])
![G-Tube Feeding Orders]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1659962718/sidneycityschoolsorg/jsca41o08fdpf81edhzn/G-TubeFeedingOrders.png","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_2/v1659962718/sidneycityschoolsorg/jsca41o08fdpf81edhzn/G-TubeFeedingOrders.png","width":512},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_3/v1659962718/sidneycityschoolsorg/jsca41o08fdpf81edhzn/G-TubeFeedingOrders.png","width":800},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1659962718/sidneycityschoolsorg/jsca41o08fdpf81edhzn/G-TubeFeedingOrders.png","width":1080}])
![Non-Prescribed Medicine Form]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1659962718/sidneycityschoolsorg/ej1nv6cc4fqm3p7afpu8/Non-PrescribedMedicine.png","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_2/v1659962718/sidneycityschoolsorg/ej1nv6cc4fqm3p7afpu8/Non-PrescribedMedicine.png","width":512},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_3/v1659962718/sidneycityschoolsorg/ej1nv6cc4fqm3p7afpu8/Non-PrescribedMedicine.png","width":800},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1659962718/sidneycityschoolsorg/ej1nv6cc4fqm3p7afpu8/Non-PrescribedMedicine.png","width":1080}])
![Physician's Request for Administration of Medicine]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1659962719/sidneycityschoolsorg/xuwtvaai7crtlkce9p3l/PhysiciansRequestforAdministrationofMedicine.png","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_2/v1659962719/sidneycityschoolsorg/xuwtvaai7crtlkce9p3l/PhysiciansRequestforAdministrationofMedicine.png","width":512},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_3/v1659962719/sidneycityschoolsorg/xuwtvaai7crtlkce9p3l/PhysiciansRequestforAdministrationofMedicine.png","width":800},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1659962719/sidneycityschoolsorg/xuwtvaai7crtlkce9p3l/PhysiciansRequestforAdministrationofMedicine.png","width":1080}])
![Religious or Philosophical Exemption Form]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1659962718/sidneycityschoolsorg/mkinv2g1jlv2utyfw7fu/Exemption.png","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_2/v1659962718/sidneycityschoolsorg/mkinv2g1jlv2utyfw7fu/Exemption.png","width":512},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_3/v1659962718/sidneycityschoolsorg/mkinv2g1jlv2utyfw7fu/Exemption.png","width":800},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1659962718/sidneycityschoolsorg/mkinv2g1jlv2utyfw7fu/Exemption.png","width":1080}])
![Seizure Action Plan]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1659962719/sidneycityschoolsorg/ddnsalluon3cqmgfni7a/SeizureActionPlan.png","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_2/v1659962719/sidneycityschoolsorg/ddnsalluon3cqmgfni7a/SeizureActionPlan.png","width":512},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_3/v1659962719/sidneycityschoolsorg/ddnsalluon3cqmgfni7a/SeizureActionPlan.png","width":800},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1659962719/sidneycityschoolsorg/ddnsalluon3cqmgfni7a/SeizureActionPlan.png","width":1080}])
![Trach Action Plan]([{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_1/v1659962719/sidneycityschoolsorg/fxie4b0aiuee62tla6y0/TrachActionPlan.png","width":256},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_2/v1659962719/sidneycityschoolsorg/fxie4b0aiuee62tla6y0/TrachActionPlan.png","width":512},{"url":"https://resources.finalsite.net/images/f_auto,q_auto,t_image_size_3/v1659962719/sidneycityschoolsorg/fxie4b0aiuee62tla6y0/TrachActionPlan.png","width":800},{"url":"https://resources.finalsite.net/images/f_auto,q_auto/v1659962719/sidneycityschoolsorg/fxie4b0aiuee62tla6y0/TrachActionPlan.png","width":1080}])