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    Dublin Unified School District

    Dublin Unified

    School District

      • Dublin Unified School District
      • Home
      • About our District
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      Health Services

      • Welcome to Health Services
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      • Allergic Reaction / Anaphylaxis Action Plan & Consent Form

        Allergic Reaction / Anaphylaxis Action Plan & Consent Form

        This form is for mild to severe food allergy or other allergy, such as bee stings, etc,  when anaphylaxis may happen and epi-pen may be required. New forms must be turned in at the beginning of each school year or whenever there is a change in information provided.

        ALLERGIC REACTION ANAPHYLAXIS ACTION PLAN AND CONSENT FORM 2020.pdf 556.75 KB (Last Modified on March 6, 2020)
        Comments (-1)
      • Asthma Action Plan & Consent Form

        Asthma Action Plan & Consent Form

        This form is used for Asthma diagnosis. For seasonal allergies use Seasonal Allergy Medication & Consent Form.
        New forms must be turned in at the beginning of each school year or whenever there is a change in information provided.

         

        ASTHMA ACTION PLAN AND CONSENT 2020.pdf 132.58 KB (Last Modified on March 6, 2020)
        Comments (-1)
      • Diabetes Management Authorization & Consent Form

        Diabetes Management Authorization & Consent Form

        Attach this form to your doctor provided Diabetes Medical Management Plan. New forms must be turned in at the beginning of each school year or whenever there is a change in information provided.

        Diabetes Management Authorization and Consent 2018.pdf 216.48 KB (Last Modified on February 12, 2018)
        Comments (-1)
      • Epileptic / Seizure Action Plan & Consent Form

        Epileptic / Seizure Action Plan & Consent Form

        New forms must be turned in at the beginning of each school year or whenever there is a change in information provided.

        SEIZURE ACTION PLAN.pdf 209.98 KB (Last Modified on June 2, 2017)
        Comments (-1)
      • Medication Authorization & Consent Form

        Medication Authorization & Consent Form

        This form is for all Over-The-Counter medications or Prescription medications that do not require an Action Plan. 

        New forms must be turned in at the beginning of each school year or whenever there is a change in information provided.

        MEDICATION AUTHORIZATION AND CONSENT FORM 2020.pdf 539.82 KB (Last Modified on March 6, 2020)
        Comments (-1)
      • Seasonal Allergy Medication and Consent Form

        Seasonal Allergy Medication and Consent Form

        New forms must be turned in at the beginning of each school year or whenever there is a change in information provided.

        SEASONAL ALLERGY MEDICATION AND CONSENT FORM 2020.pdf 535.09 KB (Last Modified on March 6, 2020)
        Comments (-1)
      • CHDP Report of Health Examination for School Entry

        CHDP Report of Health Examination for School Entry

        Physician to complete Report of Health Examination for School Entry - CHDP
        CHDP_Report_for_School_Entry.pdf 126.92 KB (Last Modified on July 26, 2010)
        Comments (-1)
      • Kindergarten Oral Health Form

        Kindergarten Oral Health Form

        Kinder_Oral_Health.pdf 99.91 KB (Last Modified on July 26, 2010)
        Comments (-1)
      • Student Emergency  Health Information

        Student Emergency Health Information

        Complete the Student  Emergency Health Information form and submit to your child's school. Must be updated annually or whenever there is a change in information provided.
        Student_Health_Form.address Fillable.pdf 267.40 KB (Last Modified on July 12, 2017)
        Comments (-1)
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      • Home
      • About our District
          "
        • 2018-2019 Strategic Framework
        • Superintendent Search Updates
        • Facilities Master Plan Website
        • Information on Measure J
        • About Our Superintendent
        • DUSD Overview
        • Emerald High School Updates
        • Committees
        • Complaint Procedures
        • District Communications
        • Labor Negotiations Update
        • Professional Learning Community
        • School Locations
        • Staff Directory
        • District Office Organizational Chart
      • Departments
          "
        • Business Services
        • Child Nutrition
        • Educational Services
        • Energy Management
        • Facilities
        • Health Services
        • Human Resources
        • Maintenance and Operations
        • Special Education
        • Student Services
        • Technology Services
      • Employment
          "
        • Human Resources
        • Certificated
        • Classified
        • Leadership / Administrative
        • Salary Schedules
        • Employment Verification
      • Resources
          "
        • OLR Forms
      • Registration
          "
        • Overview
        • School Boundaries & Assignments
        • New Families Registration
        • Developmental Kindergarten FAQ
        • DKA/Kindergarten Registration
        • Intra/Inter-District Transfer Information
        • Student Check-In Forms
        • Affidavit Process
      • Parent Channel
          "
        • Parent Channel Overview
        • Military Families Information
        • Transportation
        • Uniform Complaint Procedures
        • California Voting Rights Act
        • DACA Resources
        • Out of School/Childcare Options
      • Board of Trustees
          "
        • Board of Trustees
        • School Board Policies
      • Calendar

      Dublin Unified School District

      7471 Larkdale Ave. | Dublin, CA 94568

      PHONE: 925-828-2551

      FAX: 829-6532

      EMAIL: webmaster@dublinusd.org

      OFFICE HOURS:

      Monday - Friday: 8:00 AM - 4:30 PM

      Saturday - Sunday: Closed

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