Final School Health Forms
The School Health Form Advisory Board was established by Act 685 (R.S.40:5.12) in the 2004 Regular Legislative Session to develop standardized school health forms. The goal of the forms is to eliminate the duplication of information submitted to schools and school nurses relative to health information and screenings, allergies, illnesses, sports physicals, medication administration, and prescribed procedures.
The Department of Education, in collaboration with the Department of Health and Hospitals, jointly promulgated rules and regulations for the use and distribution of the standardized school health forms. (See Bulletin 741, the Louisiana Handbook for School Administrators, also known as Title 28 of the Louisiana Administrative Code.) Effective August 2007, R.S. 40:5.12. requires all local educational agencies to implement the use of the standardized school health forms.
Five forms have been developed. The most current versions of the school health forms (below) replace all other forms used to obtain health information, including previously piloted versions of these forms. These forms shall not be changed or altered in any manner.
Questions or comments may be directed to Maureen Daly, MD, MPH, Office of Public Health, Christine.Armand@la.gov. To download copies of the school health forms please click on the desired form above.
*This form or the Louisiana High School Athletic Association (LHSAA) form is acceptable by the LHSAA for sports physicals.