Get Student Health Emergency Card

The Student Health Emergency Card is a vital tool that contains essential health information and emergency contacts for your child. Completing this card accurately ensures that the school nurse has the necessary information to provide care in case of illness or injury.

Follow the steps to complete the Student Health Emergency Card online.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. Begin by entering your child's last name, first name, and middle name in the designated fields. Ensure accurate spelling as this information will be used for all emergency communications.
3. Fill in your child's date of birth and the grade they are currently in. Make sure the information is correct to prevent any issues during emergencies.
4. Provide both home and mailing address information, including city, state, and zip code. This is important for locating your child in emergencies.
5. Indicate the gender of your child by selecting the appropriate option.
6. List the home phone number and identify with whom the student lives by selecting from the provided options—both parents, mother, father, or guardian.
7. In the parent/guardian information section, fill in the name and contact details for each parent or guardian, including work and cell phone numbers.
8. Indicate the primary emergency contact from the available options and specify any dismissal restrictions if applicable.
9. Answer whether your child takes any regular medications, and if so, provide the names of the medications.
10. Report any illnesses, injuries, or surgeries your child has undergone since the last school year, listing them if necessary.
11. Check the boxes that apply to your child's current health conditions, such as diabetes, severe allergies, asthma, heart conditions, or hearing/vision problems. Provide additional details where prompted.
12. Complete the last physical and dental exam dates, as well as provide insurance information if applicable. Include the details of the insurance plans in the designated areas.
13. Review all information entered into the form to ensure accuracy and completeness.
14. Once all sections are filled out and verified, you may choose to save changes, download a copy, print it for your records, or share it as needed.

Complete your forms online today to ensure your child's health information is readily available in case of an emergency.