Student Health Forms

Please read through the following drop down menus to complete and submit student medical forms. All required forms are due no later than August 8th, 2025.

Below the "Returning" and "New Student" Tabs, you will find the necessary forms for medications, food allergies, asthma, and other health concerns. Please make sure to include these forms, if applicbable, when submitting to the Health Portal. If you have any questions, please feel free to contact the Health Office.

Helpful Reminder: To avoid delays, please have all forms completed and ready before beginning the online submission. Incomplete submissions cannot be processed.

HEALTH PORTAL - Form Submission

SUBMIT COMPLETED FORMS HERE!!!

Submitting Forms

Below, you will find a series of drop-down menus containing all relevant medical forms. Some forms are required based on your child’s health needs or grade level, while others may not apply. Please review each section carefully and complete only the forms applicable to your child.

Once completed by a parent/guardian and/or healthcare provider, forms may be submitted in one of the following ways:

Scan the documents to a desktop or laptop
Take clear photos of each form using your phone

Once completed, all forms should be uploaded using the Google Form linked below. If you're submitting photos, please ensure the entire page is visible, clear, and properly oriented. For best results, we recommend using portrait orientation when taking pictures.

Please note: If you have multiple children, you will need to complete all necessary forms (below) for each student.

To submit completed medical forms, please click the button below!

2025-2026 SAES MEDICAL FORMS - SUBMIT HERE

RETURNING STUDENTS

Emergency Card - REQUIRED for ALL STUDENTS

All students must submit an updated Emergency Card. Please complete both sides of the Card.

Please click below to access form:

Emergency Card Form

Physical Exam - REQUIRED if you did not submit an updated physical last school year. (Dated 2024).

To fulfill this requirement, please upload the most recent physical for your child. Physicals must be dated and signed within the last 2 years. If current physical is still valid, you do not need to resubmit unless health information has changed. You may also substitute these forms with a Health Appraisal or your Physician's physical form, but it MUST include both the physical examination and immunization summary.

If the student is enrolled in Preschool through 6th grade, please click below to access form:

Delaware Student Health Forms PS-6th

If the student is enrolled in 7th or 8th grade, please click below to access form:

Delaware Student Health Forms 7th-8th

DIAA Sports Physical - REQUIRED for 6th-8th Graders

Please complete this form if your child will be participating in after-school athletics this school year. There are several required parent and student signatures within the document.

Page 3 of this document must be completed by a Healthcare Provider. If you are not due for a physical at this time, most offices will still complete this form without the need of another physical. Towards the bottom of the page, there is a line for "Date of Exam," and one for "Date of Clearance." The practicioner can simply sign and date with a "Date of Clearance" on or after 4/1/25 using your last annual physical for the exam date.

2025-2026 DIAA Preparticipation Athletic Physical Forms

Medications

Please submit the appropriate Medication Administration Form (found under Medications tab below) and associated Action Care Plans for any student who requires prescription or non-prescription medications, whether taken daily, as needed, or in emergency situations (e.g., inhalers, epinephrine auto-injectors, seizure medications, etc.). You do not need to complete a non-prescription form for any of the mentioned Over the Counter medications (Medication Policy) unless there are specific instructions or dosages other than the standard age/weight recommendations.

Asthma Inhaler Self-Carry Requirements: Students authorized to self-carry inhalers must also complete and submit a Self-Carry Contract (found under Asthma Tab), along with their action plan.

ALL NEW STUDENTS

Emergency Card - REQUIRED for ALL STUDENTS

All students must submit an updated Emergency Card. Please complete both sides of the Card.

Please click below to access form:

Emergency Card Form

Physical Exam - REQUIRED

All physical exams must be completed by a licensed healthcare provider: Physician (MD or DO), Clinical Nurse Specialist (APN), Advanced Practice Nurse (APN), or Physician’s Assistant (PA). To fulfill this requirement, please upload the most recent physical for your child. Physicals must be dated within the last 2 years in order to be valid.

You may also substitute these forms with a Health Appraisal or your Physician's physical form, but it MUST include both the physical examination and immunization summary and be dated within the last 2 years.

ALL NEW PRESCHOOL AND PRE-K PARENTS - In accordance with licensure requirements, all new Preschool and Pre-Kindergarten students must submit a physical exam, a complete immunization record, and documented lead testing results. These documents are required for school attendance.

If the student is enrolled in Preschool through 6th grade, please click below to access form:

Delaware Student Health Forms PS-6th

If the student is enrolled in 7th or 8th grade, please click below to access form:

Delaware Student Health Forms 7th-8th

DIAA Sports Physical - REQUIRED for 6th-8th Graders

Please complete this form if your child will be participating in after-school athletics this school year. There are several required parent and student signatures within the document.

2025-2026 DIAA Preparticipation Athletic Physical Forms

Medications

Submit the appropriate Medication Administration Form and associated Action Care Plans for any student who requires prescription or non-prescription medications, whether taken daily, as needed, or in emergency situations (e.g., inhalers, epinephrine auto-injectors, seizure medications, etc.). You do not need to complete a non-prescription form for any of the mentioned Over the Counter medications (Medication Policy) unless there are specific instructions or dosages other than the standard age/weight recommendations.

Asthma Inhaler Self-Carry Requirements: Students authorized to self-carry inhalers must also complete and submit a Self-Carry Contract, along with their action plan.

Medication Forms

These forms are required for any student who needs to take prescription medication or an over-the-counter (non-prescription) medication that is not included in the list of standard medications stocked in the Health Office. All medications must be supplied in their original packaging and delivered to the Health Office by an adult. Parents/guardians should ensure the tablet count or liquid volume is accurately recorded on the form at the time of drop-off. Medications cannot be administered without a completed form on file.

For non-prescription medications, please submit this form:

Non-Prescription Medication Form

For prescription medications, please submit this form:

Prescription Medication Form

Anaphyaxis/Allergies Emergency Care Plans

Please list any allergies your child has on the Delaware Student Health Form and Emergency Card.

If your child requires the use of auto-injectable epinephrine (Epipen, Auvi Q, etc) for his or her allergy, an Anaphylaxis Emergency Care Plan must be on file with the Health Center. Please ask your child's physician to provide this plan. Upon approval by the Health Office, epinephrine auto-injectors may also be stored in a classroom or with a teacher if necessary. If that is needed, we do request a backup injector to be stored in the Health Office.

Please make sure when providing Epinephrine Auto-Injectors that medication arrives: in it's original packaging with appropriate labels and prescription stickers, includes all injectors in the event more than one is needed, and is not expired or coming up on an expiration date soon.

Please click below to access form:

Anaphylaxis Emergency Care Plan Form

Asthma

If your child has Asthma, please include an Asthma Action Plan when submitting your medical forms. For students responsible enough to carry their own inhalers, a Self Carry Contract will also need to be submitted. All other inhalers and spacers will be stored in the Health Office, unless there is an approved need for a teacher or classroom to keep it on hand.

Please click below to access forms:

Asthma Action Plan Form

Asthma Self Carry Contract Form

All Other Health Concerns

If your child has a medical condition that may require treatment, monitoring, or special care during the school day—such as diabetes, seizures, migraines, or a chronic health concern—please contact the Health Office directly. We will work with you and your child’s healthcare provider to develop an appropriate care plan to ensure their safety and well-being at school. Early communication allows us to be fully prepared to support your child’s needs.