Health Forms 


For Students in grades 6-12

 

• 2017-18 Consent to Share/Medications/Administration

This form needs to be filled out every year for every student - grades 6-12. 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.

REQUIRED: Consent to Share/Medications/Administration


REQUIRED: Consent to Share/Medications/Administration

Download, complete and mail/e-mail this form back to STA Health Office.
E-mail: Please save your document as 2017Consent_[studentlastname] and send it to nurse Lucy Poole at lpoole@cadets.com
Mail: 949 Mendota Heights Road, Mendota Heights MN 55120, attention Health Office
Questions: 651-683-1545

• 2016-17 MSHSL Eligibility Brochure

Every student - grades 7-12 only - must complete the MSHSL Eligibility Brochure at the beginning of the school year.

LINK to the online MSHSL form
Questions? Contact Assistant Athletic Director Julie Marks at jmarks@cadets.com or 651-683-1512.

• Qualifying Physical Examination

A physical exam is required every three years - grades 6-12.
All enrolled students are required to have on file in the STA Health Office a physical examination that was completed within the last three years. Physical examinations are required for both enrollment (physical education and high school Military/Leadership classes) and participation in Minnesota State High School League (MSHSL) or Catholic Athletic Association (CAA) athletics/activities. Our school nurse will notify families when a student’s physical examination will need to be updated.

EVERY THREE YEARS: Physical Exam or send one from your doctor to nurse Lucy Poole at lpoole@cadets.com.

Immunizations
This form can be used if you do not have one from your doctor. Immunization records are required for enrollment. 

Immunization Records 


For Students with Allergies, Asthma and/or Diabetes

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