health services
Arlington Public Schools
Health Services
For more information contact Shirley Holck, RN, at 478-4121, Ext. 160 or email shirley.holck@apseagles.org.
April 12, 2023 the Wellness Committee will conduct an assessment of the Wellness Policy Implementation. All patrons are welcome to submit feedback via email to shirley.holck@apseagles.org.
Caretaker authorization for administration of prescription medication to student
Physician's request for administration of prescription mediations by school personnel
Student Self-Management of Asthma, Anaphylaxis
Asthma or anaphylaxis medical management plan
Diabetes medical management plan for student self-management of health condition
Diabetes medical management plan worksheet
Refusal of Immunization for Medical Reasons Form
Refusal of Immunization for Religious Reasons Form
Questionnaire for Parent of a Student with Seizures
Emergency Seizure Medication Consent Form
School Wellness Policy-Administrative Regulations
Assessment on the Implementation of the Local School Wellness Policy
Triennial Summary Health Assessment 2023