Health Services

Morton West Contact Information

State Forms

• Certificate of Child Health Examination
• Immunization requirements 9-12 grades
• Immunization Exempt Act and Form

Vision and Dental Forms

• Illinois Eye Exam Waiver Form
• Illinois Eye Examination Form
• Illinois Dental Exam Waiver Form
• Illinois Dental Exam Form

Medical Management Plans

• Adapted PE Form
• Emergency Care Plan Form
• Individual Health Care Plan Form
• Seizure Action Plan Form Packet
• Diabetes Management Plan Form Packet
• Severe Allergy Emergency Plan Form Packet
• Asthma Action Plan Form Packet
• Medication Permission Form

Nursing Procedure Authorization Forms

• Catheterization Authorization Form
• Gastronomy Tube (GT) Physician Orders
• Physical and Occupational Therapy Form