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Medical Accommodation

Medical Accommodation Form
  • This form is to be completed by your child’s healthcare provider to request any specific accommodations that are needed at school due to a medical condition.( for example: need for wheelchair, prolonged gym/recess exemptions, transportation accommodations).
  • Once this form is completed and submitted to your school nurse it will be sent to the district’s school physician for review and needed approval.
  • Please return or E-mail completed form to the school nurse.
Form Instructions for Printing