Health Information Survey

  • Health Information Survey [SS-401] (English Word / PDF - Spanish Word / PDF) form must be completed and turned in to the health office for each child prior to the start of school. This is needed in order to share pertinent health information with school personnel on an as needed basis. This requirement is due to the confidentiality of student health records as defined in HIPAA (Health Insurance Portability and Accountability Act of 1996) and FERPA (Family Educational Rights and Privacy Act). A Health Information Survey form is mailed to homes each summer and is available on the district's Web site (see above for links).