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Health Services Forms
Health Services Forms
Health Services Card
Servicios de Salud
Authorization for Self-Carry/
Administration of Medication
Autorización para llevar y autoadministrar medicina
Severe Allergy Action Plan
Plan de Accion para Alergias Severas 

The following form is required for ALL students and has to be completed each year.

  • Health Services Card

The following forms are optional:

  • Authorization for Self-Carry/Administration of Medication - this form needs to be submitted for students who use an Epi-pen and self-carry asthma medication.

Severe Allergy Action Plan - this form needs to be submitted for students with a severe allergy. 

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The form(s) need to be printed out, completed and submitted to your campus prior to students receiving their class assignments or picking up their schedules.




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109 W. Red Oak Road | PO Box 9000 | Red Oak, TX 75154 | PH: (972) 617-2941 | FX: (972) 617-4333