Health & Medical Forms
Montessori School of Evergreen • September 10, 2024

Student Medical & Exemption Forms


  • Medical Exemption Form

    A medical exemption is available for students who have a medical condition that prevents them from receiving one or more school-required vaccines. For more information and guidance, please visit the CDPHE site.



    Form

  • Nonmedical Exemption Form

    A nonmedical exemption (NME) is an exemption to one or more school-required vaccines based upon a religious belief whose teachings are opposed to immunizations or a personal belief that is opposed to immunizations. This process may be completed online by parents/guardians, emancipated students, or students 18 years or older.

    More Info

  • General Medication Administration Form

    This form is to be filled out for students who require prescription or over-the-counter medication (OTHER THAN inhaler, epinephrine or antihistamine) to be administered during school hours or on a

    field trip (including overnight trips).

    Form

  • Allergy & Anaphylaxis Administration Plan

    Colorado state legislation requires that strict and specific documentation and practices must be in place before any staff can administer any medication to your child, for both prescribed and over-the-counter

    medications.

    Form

  • Asthma Plan & Administration Form

    This form is to be filled out for students who have asthma, which may require the adminitration of an inhaler during school hours or on a field trip (including overnight trips).

    Form

Statement of Health Status Forms



  • TODDLER, PRIMARY, & KINDER

    Please have your child's doctor fill out this form prior to the start of each school year. Once form is signed and returned, you can send it to the Office Specialist at your child's building to keep on file.

    Form

  • ELEMENTARY (1ST - 6TH)

    Please have your child's doctor fill out this form prior to the start of each school year. Once form is signed and returned, you can send it to the Office Specialist at your child's building to keep on file.

    Form

  • MIDDLE SCHOOL (7TH & 8TH)

    Please have your child's doctor fill out this form prior to the start of each school year. Once form is signed and returned, you can send it to the Office Specialist at your child's building to keep on file.

    Form