NURSE HEALTH FORMS
Physical Examination Form
All students are required to have a physical examination completed by a healthcare provider for Preschool or Kindergarten and 7th grade. Any student who transfers to GIPS from out of the state or out of the country is required to have a physical examination by a healthcare provider before they attend school.
Sports physicals are required for any student grades 7-12 who wish to participate in activities during the school year. Please check with your school principal, athletic director, coach, or school nurse for any exceptions for the 2020-2021 school year.
Certain immunizations are required by the State of Nebraska before students may attend school.
Special Meals Forms
If your child has food allergies or food intolerances, please complete the appropriate form so the correct meal accommodations can be made for your child.
- Statement Stating No Changes - English
- Statement Stating No Changes - Spanish
- Request Meal Accommodation
- Special Diet Medical Request - English / Spanish
Request to Monitor Behavior Forms
If you or your child’s physician would like to have behavior monitoring completed on your child for medication assessment reasons or ADHD/ADD monitoring please complete the consent form.
If you wish for the nurse to administer medication during the school day, please complete the medication administration consent form and provide appropriate medication for your child. If medication consent was completed during your online registration you do not need to complete a paper form.
Individualized Healthcare Plans - IHPs
- Cystic Fibrosis
- Multiple Medical Needs
- Tube Feeding
Forms may be faxed to your school, emailed to your school nurse, or returned to the school office when buildings are open.
Please call or email your school nurse if you have any questions!