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 Diabetes, Asthma and Anaphylaxis
Asthma or anaphylaxis medical management plan
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
School Immunization Rules and Regulations