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Health & Wellness

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Health Forms

  • 7-12 Activities Physical

    7-12 Activities Physical

    AthleticPhysicalForm- NEW.pdf 217.32 KB (Last Modified on July 31, 2023)
    Comments (-1)
  • Asthma Action Plan

    Asthma Action Plan

    asthma_actplan-1-1.pdf 137.78 KB (Last Modified on July 30, 2018)
    Comments (-1)
  • Certificate of Immunization

    Certificate of Immunization

    cert_imms.pdf 109.8 KB (Last Modified on July 30, 2018)
    Comments (-1)
  • Dental Screening

    Dental Screening

    Certificate of Dental Screening 3_17_21.pdf 590.74 KB (Last Modified on May 8, 2021)
    Comments (-1)
  • Diabetic Self Carry

    Diabetic Self Carry

    507.2E3.pdf 111.08 KB (Last Modified on October 5, 2023)
    Comments (-1)
  • Diet Modification Request (English)

    Diet Modification Request (English)

    Diet_Modification_Request_Form_2021v4.pdf 129.98 KB (Last Modified on January 6, 2022)
    Comments (-1)
  • Diet Modification Request (Spanish)

    Diet Modification Request (Spanish)

    Diet_Modification_Request_Form_2021v4_SPANISH.pdf 92.17 KB (Last Modified on January 6, 2022)
    Comments (-1)
  • Food Allergy Action Plan

    Food Allergy Action Plan

    ECP-FAAP_Plan_English-05.12.pdf 2.67 MB (Last Modified on March 28, 2022)
    Comments (-1)
  • Head Lice Brochure

    Head Lice Brochure

    Head Lice Brochure.pdf 200.98 KB (Last Modified on July 29, 2019)
    Comments (-1)
  • Medication Authorization

    Medication Authorization

    ParentAuthforMeds-1.pdf 84.9 KB (Last Modified on July 30, 2018)
    Comments (-1)
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Address 300 Garfield Street SW, Bondurant, IA 50035

Phone 515-967-7819

Fax 515-967-7847

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