LJA Health Requirements and Forms

New students LJA Health Requirements

Returning students LJA Health Requirements

Links: School Year 2010-2011
1) Health Room Emergency & Medication Form, PK-JK  
2) Health Room Emergency & Medication Form, K-12
3) Form 14/Student Health Record (Physical Exam, TB Clearance, Immunizations)
4) Prescription Medications, Including Self-Administered EpiPen & Inhaler
5) Asthma History & Inhaler
6) Administration of Over-the-counter Medication (not provided by school)
7) Anaphylaxis Emergency Action Plan
8) ILH Athletic Participation Form (2 pages)

Dept. of Health Examination & Immunizations: http://gen.doh.hawaii.gov/sites/har/AdmRules1/11-157.pdf
Or call Hawaii Immunization Program (O’ahu) (808) 586-8332