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Health Forms
District Health Forms for Parents
Emergency Forms
Please keep your child's Emergency Card information up-to-date (contact phone numbers, allergies, name of doctor, etc.). You can complete a paper copy provided by the school or update the information online through the SKYWARD FAMILY ACCESS Parent Portal under Parent information on main West Independent School District.
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At the beginning of the school year, provide the school nurse with any updated documentation of your child's immunizations. The documentation must include the month, day, and year of the immunization. This is especially important for new students, and students entering Kindergarten and grade 7.
See the Immunization page for more information.
- Varicella (Chicken Pox) History of of illness form - English page 1 | Español página 2
- For students who have had the Chicken Pox disease
- Varicella (Chicken Pox) History of of illness form - English page 1 | Español página 2
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There is a regulation regarding the consent to contact your child’s health care provider if needed, to provide specific district health-related services. In order to begin or continue to provide this service to your child, this consent must be on file. The regulation is provided in the form below. This consent is included in many of the West ISD action plans and medication forms so it may not always be required as a separate document. Please sign and return this document to the school nurse, so we can provide continuity of care to your child. Consult your campus nurse if you are not sure.
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* A separate form is required for each medication. | Una forma separada se requiere para cada medicación.
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- *REQUIRED- Asthma Action Plan -(English)
- *REQUIRED- Asthma Action Plan -(Española)
- Refusal for Treatment at School - (English)
- Refusal for Treatment at School - (Española)
- *REQUIRED- Medication - Forms
- Medication Authorization Form - (English)
- Medication Authorization Form - (Spanish)
- * A separate form is required for each medication. | Una forma separada se requiere para cada medicación.
- *Doctor & Parent Must Sign
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- An Allergy Disclosure form is to be completed at the time of initial registration and will be retained in the student record.
- *REQUIRED- Anaphylaxis Action Plan - (English)
- *REQUIRED- Anaphylaxis Action Plan - (Española)
- *REQUIRED- Medication Request Form -(English)
- *REQUIRED- Medication Request Form -(Española)
- * Special Diet Substitution or Modifications Form - (English)
- Refusal for Treatment at School - (English)
- Refusal for Treatment at School - (Española)
- *REQUIRED- Medication - Forms
- Medication Authorization Form - (English)
- Medication Authorization Form - (Spanish)
- * A separate form is required for each medication. | Una forma separada se requiere para cada medicación.
- *Doctor & Parent Must Sign
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- Information Letter for Parents - (English)
- Information Letter for Parents - (Española)
- TEA English Special Health Needs of Students with Diabetes (English)
- TEA English Special Health Needs of Students with Diabetes (Española)
- *REQUIRED- Diabetes Management Plan (English)
- *REQUIRED- Diabetes Management Plan (Española)
- Insulin Pump Physician Orders (if Applicable) (English)
- Insulin Pump Physician Orders (if Applicable) (Española)
- Unlicensed Diabetes Care Assistant Consent (English) – If not included as part of the physician-provided management plan.
- Unlicensed Diabetes Care Assistant Consent (Española) – If not included as part of the physician-provided management plan.
- *REQUIRED- Medication Request Form -(English)
- *REQUIRED- Medication Request Form -(Española)
- Dexcom Parent Authorization Letter for use of Dexcom App (If Applicable) - (English)
- Dexcom Parent Authorization Letter for use of Dexcom App (If Applicable) -(Española)
- Continuous Glucose Monitor Use Agreement (If Applicable) (English) (Española)
- *REQUIRED- Medication - Forms
- Medication Authorization Form - (English)
- Medication Authorization Form - (Spanish)
- * A separate form is required for each medication. | Una forma separada se requiere para cada medicación.
- *Doctor & Parent Must Sign
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- Information Letter for Parents - (English) (Española)
- *REQUIRED- Seizure Action Plan - (English)
- *REQUIRED- Medication - Forms
- Medication Authorization Form - (English)
- Medication Authorization Form - (Spanish)
- * A separate form is required for each medication. | Una forma separada se requiere para cada medicación.
- *Doctor & Parent Must Sign
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- Allergy Anaphylaxis Parent letter regarding allergies anaphylaxis Spanish
- Allergy Anaphylaxis Parent letter regarding allergies anaphylaxis ENGLISH
- Anaphylaxis Action Plan ENGLISH Fill out on computer, print, sign
- Anaphylaxis Action Plan SPANISH Fill out on line, print, sign
- Anaphylaxis Special Diet Accommodation Form1
- Asthma Action Plan ENGLISH 1-2022Pro
- Asthma Action Plan1-2022ProSPANISH
- Asthma Information for Parents of Students with Asthma Spanish letter
- Asthma Information for Parents of Students with Asthma
- AsthmaAnaphylaxisSelfAdministrationGuidelines1
- Dexcom English Authorization Letter for Dexcom
- Dexcom Spanish Authorization Letter for Dexcom
- Diabeteis Sample 504-plan
- Diabetes Continuous Glucose Monitor Use Agreement 2023
- Diabetes Medical Management English Action Plan 2022
- Diabetes Medical Management Spanish1
- Diabetes Parent letter regarding Diabetes SPANISH 2022
- Diabetes Parent letters regarding Diabetes ENGLISH 2022
- Diabetes West UDCAENGLISHConsent2022
- Diabetes WEST UDCASPANISHConsent2022 (2)
- Diabetes_management_info_handout (01) Spanish
- Diabetes_management_info_handout (1) English
- DiabetesInsulingPmpMedPlanENGLISH
- DiabetesInsulingPmpMedPlanSPANISH
- Guidelines for Continuous Glucose Montioring at School
- Guidelines for the use of Continuous Glucose Monitors (CGM) and Sensors in the School Setting
- Medication Parent Auth Form English Aug2024 fillable
- Medication Parent Auth Spanish Aug 2024 fillable
- Parent Consent Communication with Physician Distrito Escolar Independiente del Oeste
- ParentConsentCommunicatePhys2011-2017A
- REFUSAL FOR TREATMENT ENGLISH Print, Sign
- REFUSAL FOR TREATMENT SPANISH Print, sign
- Seizure Action Management Plan and Treatment Plan JAN 2024
- Seizure Parent Cover Letter 2024.pdf
- TEA English Special Health Needs of Students with Diabetes
- TEA Spanish Special Health Needs of Students with Diabetes spanish