Iowa Department of Health

• Certificate of Dental Screening

• Certificate of Immunization

• Certificate of Vision Screening

West Liberty Community School District

• Health Form

• School Physical Form (for Preschool and Kindergarten)

• Medication Administration Permission Form

Exemptions

• Medical

• Religious

Mumps Information Sheet

• English

• Spanish

Asthma Emergency Action Plans

• English

• Spanish

Food Alergies

• Emergency Action Plans

  • English

  • Spanish

• Diet Modification Request Form

Consent Forms

• WLCSD Release of Information

• Authorization for the Release of Health and/or Educational Information

• Authorization for Exchange of Information

• University of Iowa Hospitals and Clinics