Health-Forms-for-Freshman-and-Transfers
Med-Administration-Form-25-26
FORMS
Download and print out these forms.
Please return all completed forms to Ms. Stephanie Raynor, [email protected]
OTHER FORMS – Not Required
- MVA Form – Identity or Attendance Verification
Instructions are as follows:
Complete Section A: Parent/Guardian Signature and Applicant Signature required.
Submit form, with Section A completed, to Mrs. Stephanie Raynor in the Main Office.
You will be contacted by Mrs. Raynor to make arrangements to pick up the completed document. The sealed envelope must be obtained in-person, because the Curley seal must remain intact until submitted to the MVA. This form is only required when students are going to the MVA to obtain their Learner’s Permit and not a required form for the school.
MEDICAL FORMS
- Notice of Required Health Forms for Freshman and Transfers
- Health Questionnaire with Sports Physical (This form includes the Physical Exam Form as page 4.)
- Physical Exam Form only
- Medical Administration Authorization Form 25-26
- OTC (Over the Counter) Medication Consent Form
- Maryland Immunization Certification Form
- Seizure Action Plan
- Asthma Action Plan
- Diabetes Form
- Diabetes Supplemental Form
- Food Allergy Emergency Care Plan
- XLNT Brain Baseline Testing