top of page

This site was designed with the

website builder. Create your website today.Start Now

West Lyon School
Nurse's Page

"Education is the most powerful weapon which you can use to change the world". Nelson Mandela

Asthma Forms

Asthma Action Plan

For students with asthma who may need to use an inhaler at school.

Authorization to Carry

For students who will carry their own inhaler or EpiPen.

Dental Screening Form

Required for students entering Kindergarten & 9th Grade

Certificate of Dental Screening

Diabetic Medical Management Plan

Diabetic Medical Management Plan

Diet Modification Form

Required for students with food allergies or intolerances that may need changes to school lunch

Diet Modification Form

Allergy Emergency Plan

Food Allergy & Anaphylaxis Emergency Care Plan

For students with risk for anaphylaxis from foods or insect stings

Immunizations

Immunization Requirements - IDPH Version

Immunization Requirement Table

Seizure Action Plan

Seizure Action Plan

Athletic Forms

Forms for student athletes in 7th-12th grades

Heads Up Concussion Form

Health Registration Form

Health Registration Form

Medication Authorization Form

Must be completed in order for any medication (OTC or prescription) brought from home to be given at school

Medication Authorization Form

bottom of page