Student Injury Report - (Source: Utah Dept of Health RedCap)
- Instructions for RedCap - Users must set up an account to utilize the portal
Health Care Plan Forms
- Nursing Services Request for Special Health Care Services and Release of Confidential Information
- Nursing Services Request for Special Health Care Services and Release of Confidential Information (Español)
- Primary Health Care Provider's Statement
Head Injury
Head Lice
- Lice Info for Parents - (Source: Primary Children's Hospital)
- Lice Info for Parents (Spanish) - (Source: Primary Children's Hospital)
- Head Lice Protocol (Updated March 2023)
- Lice FAQs (Updated March 2023)
- Lice Flowchart
Immunizations
- Immunization Guidebook (2023-24) (Source: Utah Dept. of Health)
- Utah School Immunization Record or "Pink Card" (Source: Utah Dept of Health)
- School and Childcare Employee Immunization Requirements
- USIIS Login
Immunization Reporting Forms
-
- Preschool Immunization Fall Report (Updated Oct 2023)
- Kinder Immunization Fall Report (Updated Oct 2023)
- 7th Grade Immunization Fall Report (Updated Oct 2023)
- MMR Fall Immunization Template (Updated Nov 2023)
- Preschool Immunization Spring Report (Updated Jan 2023)
- Kinder Immunization Spring Report (Updated Jan 2023)
- 7th Grade Immunization Spring Report (Updated Jan 2023)
- MMR Spring Immunization Report_(Updated Jan 2023)
Information Sheets
- Anaphylaxis General Information Sheet
- Asthma General Information Sheet
- Diabetes General Information Sheet
- Seizure General Information Sheet
Medication Administration Records (2024-25)
- Medication Administration Record Elementary Schools
- Medication Administration Record for Secondary Schools
Miscellaneous Documents