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Health Forms

2023-24 Kansas Certificate of Immunizations (KCI) Form

2023-24 Kansas Certificate of Immunization.pdf 497.41 KB (Last Modified on June 6, 2023)

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2023-24 Medical Exemption Form

2023-24 KCI Medical Exemption.pdf 137.64 KB (Last Modified on June 6, 2023)

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Food Allergy/Anaphylaxis Emergency Care Plan

Food Allergy-Anaphylaxis Emergency Care Plan.pdf 2.67 MB (Last Modified on July 14, 2022)

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Kansas Asthma Action Plan

Kansas Asthma Action Plan.pdf 138.01 KB (Last Modified on June 9, 2022)

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Kansas Birth Certificate Application

Kansas Birth Certificate Application.pdf 431.02 KB (Last Modified on July 14, 2022)

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Medical Statement to Request Meal Modification

Medical Statement to Request Meal Modification.pdf 159.62 KB (Last Modified on June 9, 2022)

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Physical Assessment Form

Physical Assessment Form.pdf 22.49 KB (Last Modified on July 14, 2022)

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Prescription Medication Form

Physician Prescription Medication Form.pdf 135.84 KB (Last Modified on June 6, 2023)

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Health Resources

2023-24 Kansas Immunization Requirements

2023-24 K-12 Immunization Requirements.pdf 175.08 KB (Last Modified on June 6, 2023)

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JoCo Disease & Symptom Exclusion Recommendations/Regulations

JCDHE Exclusion Recommendations 2024.pdf 194.83 KB (Last Modified on April 12, 2024)

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KDHE Facts of Lice

KDHE Facts of Lice document.pdf 225.75 KB (Last Modified on June 9, 2022)

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Phased in Approach to 2019-20 School Immunization Requirements - Continued For 2023-24

2023-24 Kansas School Phase in Approach.pdf 132.7 KB (Last Modified on June 6, 2023)

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USD 230 Head Lice Brochure

USD 230 Head Lice Brochure.pdf 138.51 KB (Last Modified on June 9, 2022)

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