Health Clinic

                              Forms Below

Medication Agreement Forms - For medication to be administered in the clinic by the Health Aide.

Heath Care Plans - For students with health concerns that need to be monitored and procedures followed in the event of a health emergency.

Medication Agreement

Colorado Anaphylaxis and Allergy Plan

Colorado Asthma Plan


Please Note:
The Health Clinic Does Not Distribute
Tylenol, Ibuprofen, Cough Drops, Throat Lozenges, Cough Syrup, Tums, Allergy Medications or other over the counter medications.

Students are permitted to carry a one days dose of any medication they think they may need. All over the counter medications must be in original containers.

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                         Immunization Forms Below

Medical Exempt 

Immunization Medical Exemption

Non-Medical Exempt

If you signed a Non-Medical Exemption Form for the 2017-2018 School Year, you will need to fill out another for the 2018-2019 School Year. The Non-Medical Exemption forms do not roll over for the following year, or you can provide an updated immunization record for your student.  

Immunization Non-Medical Exemption





Overnight Field Trip Form

Overnight Medication Agreement


DISTRICT REGISTERED NURSE
Martha Maitre-Hughes
martha.maitre-hughes@jeffco.k12.co.us 
720.315.3840

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HEALTH AIDE
CONCUSSION COORDINATOR

Beth Hatfield
beth.hatfield@jeffco.k12.co.us
303.982.5072