Health Services
Health Services & Medical Forms
- Non Prescription Med Forms
- Prescribed Medication Administration Form
- Epinephrine Authorization for the Possession and Use
- Immunization Exemption Forms
- Immunization Requirements - Entering 7th Grade
- Immunization Requirements - Entering 12 Grade
- Immunization Resource Pamphlet
- Physical Exam Form
- Seizure Medication Authorization for Student Possession Form
- Specialized Care Authorization Forms Parents & Physicians
- Vision Resource Pamphlet
Non Prescription Med Forms
Prescribed Medication Administration Form
Epinephrine Authorization for the Possession and Use
Immunization Exemption Forms
Immunization Requirements - Entering 7th Grade
Immunization Requirements - Entering 12 Grade
Immunization Resource Pamphlet
Physical Exam Form
Seizure Medication Authorization for Student Possession Form
Specialized Care Authorization Forms Parents & Physicians
Vision Resource Pamphlet
Hearing & Vision Screenings
Our school nurses will soon be conducting hearing and vision screenings this fall and winter, following Ohio Department of Health guidelines. These screenings are a quick check to help identify any concerns that could impact learning. Who will be screened?
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Preschool, Kindergarten, 1st, 3rd, 5th, 9th, and 11th graders
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All new students to the district
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All 7th graders (vision screening only)
Families will be notified if a student does not pass a screening. Please note: Screenings are not a substitute for a full exam by your child’s healthcare provider or eye specialist.
Opting Out: If you do not want your child to participate, please complete the vision and/or hearing screening waiver (available above on the PLSD website) and return it to your school nurse.

About Your Students School Health Clinic
- If Your Student is Sick
- Immunization Requirements
- Student Health Screenings
- Physical Exam Information
- Emergency Medical Information
- Health Concerns
- Illness or injury
- Medications

