Health Forms 

All forms should be returned to the STA Health Office.


For all students in grades 6-12

      2016-17 Consent to Share/Medications/Administration

This form needs to be filled out every year for every student. Information includes authorizing the school health staff to share health concerns with appropriate school personnel who have direct contact with your son during the school day; listing your son's medications and allergies; and providing your consent for the health staff to administer Ibuprofen/Tylenol. Download, print, complete and mail this form back to STA.

OR - You can download a Word version of the form above  and e-mail it back to school. Please save your document as 2016Consent_[studentlastname] and send it to nurse Lucy Poole at lpoole@cadets.com.

2016-17 MSHSL Eligibility Brochure & Qualifying Physical Examination

Every student must complete the MSHSL Eligibility Brochure at the beginning of the school year. A physical exam is required every three years. Every student must have a current Physical Examination Form on file with the Health Office. Download the MSHSL physical exam form or send one from your doctor to nurse Lucy Poole at lpoole@cadets.com..

NEW THIS YEAR Saint Thomas Academy has added another Web site for athletics and activities. All families must register each student on this site and complete the MSHSL eligibility brochure. All new students must have a physical exam and immunization record on file with the health office. Returning students who need to submit a new physical exam have been notified by Ms. Poole.

Immunizations
This form can be used if you do not have one from your doctor.

Immunization Records 


 

Allergy Information
This form must be completed by a physician and parent/guardian. Orders must be renewed annually.

Allergy Action Plan

 

Asthma Form

This form must be completed by a physician and parent/guardian. Orders must be renewed annually.

Asthma Action Plan 

 

Diabetes Forms

These forms must be completed by a physician and parent/guardian. Orders must be renewed annually.

Independent Blood Glucose Monitoring Authorization

Diabetes Care Plan