• Health Forms 

    Use the following directions for the PDFs listed below: 

    1. Download the attached form onto your device or print the attached PDF.

    2. Save it with your student’s first and last name.

    3. Complete the downloaded form.

    4. Send it back to your student’s school nurse as an attachment. 

    5. Remember:  Forms must be signed by a parent or legal guardian.

    Annual Health and Medication Form

    MO School Immunization Requirements 

    Medication Authorization

    Child Medical Exam Report

    Medical Emergency Action Plan

    Immunizations/Special Needs

    If your student has any of the following action plans: Asthma Action Plan, Seizure Action Plan, Diabetes Management Plan, or Allergy Action Plan, you should reach out to your student’s medical team and request an updated action plan for the current school year. These action plans can also be sent to school once you receive them. 

    We would also like to remind you that students enrolled in the Maplewood Richmond Heights School District are required to have up-to-date immunization records according to Missouri School Immunization Law 167.181 -- even during virtual learning. This applies to all students, whether Maplewood Richmond Heights School District is in tier one, two, or three.