West Independent School District

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.

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
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.
- Parent Consent to Communicate (English)
- Parent Consent to Communicate (Spanish)
- Medication Authorization Form - (English)
- Medication Authorization Form - (Spanish)
* A separate form is required for each medication. | Una forma separada se requiere para cada medicación.
- Information Letter for Parents - (English)
- Information Letter for Parents - (Española)
- *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
- Information Letter for Parents - (English)
- Information Letter for Parents - (Española)
- 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
- *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
- 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

Child Nutrition Department

West ISD District of Innovation (DOI) Plan

District Health Forms for Parents

Health Forms

District Health Forms for Parents

Immunization Forms

Consent to Communicate with Medical Health Care Professional or Health Care Provider

Medication - Forms

Asthma Related Forms

Anaphylaxis - Severe Allergy

Diabetes

Seizure Disorder

HEALTH FORMS