• Lewis Central Community Schools
    • Lewis Central High School
    • Lewis Central Middle School
    • Titan Hill Intermediate School
    • Kreft Primary School
Search
    • SpanishSpanish
    • CantoneseCantonese
    • FrenchFrench
    • GermanGerman
    • ItalianItalian
    • TogalogTagalog
    • VietnameseVietnamese
    • KoreanKorean
    • RussianRussian
    • HindiHindi
Guest | Login
Home
  • Home
  • News
    • What's New
      • Superintendent's May 2012
      • Bald Is Beautiful
      • 2012-2013 School Calendar
      • Superintendent's March 2012
      • Superintendent's February 2012 Update
      • Weekend Institute for Gifted Students (WINGS)
      • H.H. "Red" and Ruth H. Nelson Family Foundation Excellence in Teaching Award
      • Lewis Central Receives Breaking Barriers Award
      • LC Engineering Wins National Award
      • Veteran's Day Assembly at LCHS
      • Superintendent's January 2012 Update
      • Superintendent's December 2011 Update
      • Superintendent's November 2011 Update
      • Superintendent's October 2011 Update
      • Superintendent's September 2011 Update
      • Superintendent's August 2011 Update
      • Superintendent's June 2011 Update
    • Archived News
    • 2010 Kindertime Video
    • 2010 LC Video
    • Our Mission
  • Calendar
    • The Official 2011-2012 Adopted Calendar (in pdf format)
  • Board of Education
    • Board Agendas 2011-2012
      • March 23, 2012
      • May 21, 2012
      • May 7, 2012
      • April 16, 2012
      • April 2, 2012
      • March 19, 2012
      • March 5, 2012
      • February 20, 2012
      • February 6, 2012
      • February 1, 2012
      • January 23, 2012
      • January 9, 2012
      • December 19, 2011
      • November 21, 2011
      • November 7, 2011
      • October 17, 2011
      • October 3, 2011
      • September 19, 2011
      • September 12, 2011
      • August 15, 2011
      • August 1, 2011
      • July 18, 2011
    • Board Agendas 2010-2011
      • June 27, 2011
      • June 6, 2011
      • May 16, 2011
      • May 2, 2011
      • April 18, 2011
      • April 4, 2011
      • March 28, 2011
      • March 21, 2011
      • March 7, 2011
      • February 21, 2011
      • February 7, 2011
      • January 24, 2011
      • January 17, 2011
      • October 4, 2010
      • September 13, 2010
      • August 9, 2010
      • August 2, 2010
      • July 19, 2010
    • Board Agendas 2009-2010
      • Board agendas
      • April 5, 2010
      • March 1, 2010
      • February 15, 2010
      • January 13, 2010
      • December 21, 2009
    • Board Minutes 2011-2012
      • April 16, 2012 Disciplinary Hearing
      • April 2, 2012
      • March 19, 2012
      • March 19, 2012 Disciplinary Hearing
      • March 5, 2012
      • February 20, 2012
      • February 6, 2012
      • February 1, 2012
      • January 23, 2012
      • January 9, 2012
      • December 19, 2011 Disciplinary Hearing
      • December 19, 2011
      • December 5, 2011
      • November 21, 2011
      • November 7, 2011
      • October 17, 2011
      • October 3, 2011
      • September 19, 2011
      • September 12, 2011
      • August 15, 2011 Student Hearing
      • August 15, 2011
      • August 1, 2011
      • July 18, 2011
      • April 16, 2012
      • May 7, 2011
    • Board Minutes 2010-2011
      • June 27, 2011
      • June 6, 2011
      • May 16, 2011
      • May 2, 2011
      • April 18, 2011
      • April 4, 2011
      • March 28, 2011
      • March 21, 2011
      • March 7, 2011
      • February 21, 2011
      • February 7, 2011 Board Work Session Minutes
      • February 7, 2011
      • January 24, 2011
      • January 17, 2011
      • January 3, 2011
      • December 20, 2010
      • December 6, 2010
      • November 15, 2010
      • November 2, 2010
      • October 18, 2010
      • October 4, 2010
      • September 13, 2010
      • August 16, 2010
      • August 9, 2010
      • August 2, 2010
      • July 19, 2010
    • Board Minutes 2009-2010
      • June 21, 2010
      • June 7, 2010
      • May 27, 2010
      • April 5, 2010
      • February 1, 2010
    • Board Policies
      • Series 100 Educational Philosophy
      • Series 200 Board of Education
      • Series 300 Administration
      • Series 400 Personnel
      • Series 500 Students
      • Series 600 Educational Program
      • Series 700 Auxiliary Services
      • Series 800 Business Practices
      • Series 900 Buildings and Grounds
      • Series 1000 School Community Relations
    • School Improvement Advisory Committee
      • Meeting agendas
      • Meeting minutes and resources
  • Schools
    • Lewis Central High School
    • Lewis Central Middle School
    • Titan Hill Intermediate School
    • Kreft Primary School
  • Departments
    • Curriculum/Instruction
      • Lewis Central Curriculum
      • At-Risk Programming
      • ELL Programming
      • Gifted Education
      • Special Education
      • Teacher Quality Committee
      • Professional Development Videos
      • District Leadership Team News
      • Content Team Corner
    • Human Resources
      • Educational Hours Approval Form
      • Insurance
      • Performance Evaluation Processes and Forms
    • Food Service
      • Free & Reduced Application
      • Family Lunch Balances
      • efunds for schools
      • Nutrition Information
      • Breakfast & Lunch Menus
      • Frequently Asked Questions
    • Health Services
      • Administration of Medication
      • Is Your Child Receiving Medical Treatment for Asthma or A Serious Allergy?
      • Health Forms
      • Tips for Relieving Holiday Stress
    • Pool
      • Competitive Swimming
      • Swim Lessons 2012
      • Registration Form 2012
      • Swimming Lesson Curriculum
      • Swim Lesson Class Closings
    • Lewis Central Lucky Children
      • LCLC Purpose and Goals
      • LCLC Registration and Enrollment Procedures
      • LCLC Policies and Procedures
      • LCLC Forms
      • Before School Program Schedule
      • After School Program Schedule
  • For Parents
    • Sign Up For School Alerts!
    • 2011-2012 Fees
    • LC PTA
      • PTA Minutes
      • Newsletters
      • Important Dates
      • Earning Money through Box Tops for Lewis Central PTA!
      • Additional Collection Projects
    • LC Booster Club
      • Auction
      • Clothing
      • Concessions
      • Membership
      • Booster Club Minutes
    • LC Foundation/Alumni
      • About Us
      • Walk of Pride
      • Wall of Fame
      • LC Education Foundation Scholarships
    • Forms
      • Health Forms
      • Middle School Teacher of the Month Recommendation Form
    • PowerSchool
      • FAQs
      • Request Parental Access
      • Tips for Parents
      • Log into PowerSchool
    • Annual Notices
      • Abuse of Students by District Employees
      • Affirmation of Board Support of School Discipline Policies
      • Asbestos
      • Corporal Punishment, Restraint, and Physical Confinement and Detention
      • Dispensing of Medication
      • Dissemination of Comprhensive Policy
      • Field Trips
      • Free and Reduced Lunch
      • Homeless Students
      • Human Growth and Development
      • Immunization Record
      • Lockers
      • Open Enrollment
      • Release of Information and Photographs
      • Student Directory Information
      • Student Records Policy
      • Teacher Qualifications
      • Water Testing
    • Having Fun with Learning
    • Summer Learning Tips for Parents
  • For Staff
    • PowerSchool for Teachers
    • SubFinder
      • Log into SubFinder
      • Training Materials for Substitutes and Employees for Using SubFinder Online
      • Substitute FAQ for SubFinder
      • Employee FAQ for SubFinder
      • Printable Phone Reference Card for Substitutes
      • Printable Phone reference Card for Employees
    • Professional Development Information
      • Common PD Terms - Defined
      • Information Resources
      • Navigating Instruction Planner/Curriculum Mapper
      • Professional Development Videos
      • Understanding by Design: Unit Design Process
  • Jobs
  • Contact Us
    • ERC Directory
    • LCHS Directory
    • LCMS Direcory
    • Titan Hill Directory
    • Kreft Directory
Middle School Teacher of the Month Recommendation Form
Lewis Central Community Schools » For Parents » Forms » Health Forms
Health Forms

Health Forms

by Donna Bush

Click on a link below to open and print a health form.

Asthma Anaphlaxis Action Plan

Asthma or Airway Constricting Medication Self-administration Consent Form

Administracion por si Mismo de Medicacion para Asma o la Constriccion de la via aerea Forma de Consentimiento

Permission to Administer Medication

Permiso Para Administrar la Medicacion

Physical Exam Form Grades 7-12

Certificate of Dental Screening
Lewis Central Community Schools
  • Lewis Central Community Schools, 1600 East South Omaha Bridge Road, Council Bluffs, IA. 51503 | Phone: 712.366.8202
  • Site Powered by: SharpSchool © 2004-2012 Education Web Hosting & Content Management Solutions