Health Forms

Below is a list of all West Des Moines Community School’s Health Forms.

Inhaler Self-Carry Consent Form (pdf)
Immunization Requirements (pdf)
Dental Screening Form (pdf)
Food and Allergy & Anaphylaxis Emergency Care Plan (pdf)
Food Substitutions (pdf)
Medication Form (pdf)
Lead Policy (pdf)
Health History Form (pdf)
Physical Form (pdf) (Please note: this is not the athletic physical form)
Seizure Action Plan Form (pdf)
Vision Screening (pdf)

 

Below is a list of forms by grade level.

Kindergarten

Immunization Requirements (pdf)
Health History Form (pdf)
Physical Form (pdf) (Please note: this is not the athletic physical form)
Vision Screening (pdf)
Dental Screening Form (pdf)
Lead Policy (pdf)

First-Sixth – New Students

Immunization Requirements (pdf)
Health History Form (pdf)

Third Grade

Vision Screening (pdf)

Seventh and Eighth Grade

Health History Form (pdf)
Evidence of Tdap Vaccine after age seven (pdf)
Athletic Physical Exam (pdf)

Seventh and Eighth Grade – New Students

Health History Form (pdf)
Immunization Requirements (pdf)
Evidence of Tdap Vaccine after age seven (pdf)
Athletic Physical Exam (pdf)

Ninth Grade

Immunization Requirements (pdf)
Health History Form (pdf)
Dental Screening Form (pdf)

Tenth-Twelfth Grade

Immunization Requirements (pdf)
Health History Form (pdf)