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La Salle Elementary School District 122
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  • District
    • Registration
    • Employment Opportunities
    • Excellence Foundation
    • Finances
    • FOIA - Freedom of Information Act
    • Health Services
      • Physical & Immunization Requirements
      • Student Athletics
      • Health Forms & Documents
    • Parent Teacher Association (PTA)
    • School Lunch Program
    • SOPPA - Student Online Personal Protection Act
    • Title 1
  • Schools
    • Northwest Elementary
    • Lincoln Jr. High
  • Board of Education
    • Board Members
    • Board Meetings
    • Policy Manual
La Salle Elementary School District 122
  • Home
  • District
    • Registration
    • Employment Opportunities
    • Excellence Foundation
    • Finances
    • FOIA - Freedom of Information Act
    • Health Services
      • Physical & Immunization Requirements
      • Student Athletics
      • Health Forms & Documents
    • Parent Teacher Association (PTA)
    • School Lunch Program
    • SOPPA - Student Online Personal Protection Act
    • Title 1
  • Schools
    • Northwest Elementary
    • Lincoln Jr. High
  • Board of Education
    • Board Members
    • Board Meetings
    • Policy Manual
  • More
    • Home
    • District
      • Registration
      • Employment Opportunities
      • Excellence Foundation
      • Finances
      • FOIA - Freedom of Information Act
      • Health Services
        • Physical & Immunization Requirements
        • Student Athletics
        • Health Forms & Documents
      • Parent Teacher Association (PTA)
      • School Lunch Program
      • SOPPA - Student Online Personal Protection Act
      • Title 1
    • Schools
      • Northwest Elementary
      • Lincoln Jr. High
    • Board of Education
      • Board Members
      • Board Meetings
      • Policy Manual

Health Forms & Documents

23-24 Health Information Form 

Asthma 

  • Asthma Letter - FInal

  • Asthma Action Plan

  • Consent to Release Medical Information

  • Medication Authorization Form 2023-2024

  • Self-Administration of Medication


Food Allergies

  • Family Food Allergy Health History Form

  • Illinois Food Allergy Emergency Action Plan and Treatment Authorization

  • Consent to Release Medical Information

  • Medication Authorization Form 2023-2024

  • Self-Administration of Medication

  • Medical Meal Request Form

  • Modified Meal Request by Parent/Guardian


Diabetic 

  • Diabetes Medical Management Plan

  • Consent to Release Medical Information

  • Medication Authorization Form 2023-2024


Seizure

  • Seizure Action Plan

  • Consent to Release Medical Information

  • Medication Authorization Form 2023-2024


Daily/PRN Medication

  • Medication Authorization Form 2023-2024


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La Salle Elementary School District 122

1165 St. Vincents Avenue, LaSalle, IL 61301

Phone: 815-223-0786


Per 50 ILCS 205/20, if you wish to communicate with elected officials of the school district, please email boardofedu@lasalleschools.net

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