Forms for Students
Immunization Report — If you did not complete the immunization report for your student through the online registration system, please complete this form and submit it to your school, or submit an immunization report provided by your physician's office. For the immunization requirements for students for the 2018-2019 school year, please see 2018-2019 Immunization Information for Enrollment.
Physician's Report — It is recommended that you complete and submit this form only for the first year that your child is enrolled in Upper Arlington Schools
Please complete at the direction of your school nurse.
Authorization for Student Possession and Use of Asthma Inhaler — for students who will carry and self-administer an asthma inhaler
Authorization for Student Possession of and Use of an Epinephrine Autoinjector - for students who will carry and self-administer an epinephrine autoinjector
If you have any questions about these forms, please contact your school nurse.
|Nikki Kennedy, RN||Barrington||(614) 487-5180 Ext. 5003|
|Janice Walsh, RN||Wickliffe||(614) 487-5150 Ext. 6503|
|Windermere||(614) 487-5060 Ext. 7003|
|Jayna D'Herete, RN||Greensview||(614) 487-5050 Ext. 5503|
|Ruth Sacolick, RN||Tremont||(614) 487-5170 Ext. 6003|
|Gini Barber, RN||Hastings||(614) 487-5100 Ext. 4003|
|Jane Mead, RN||Jones||(614) 487-5091|
|Laurie Long, RN||UAHS||(614) 487-5278|