Health Forms

Listed below are the health forms that are most commonly used in the School District of Janesville.  Feel free to print these forms, have them completed, and turn them into your child’s school office.  Thank you.

Dental Permission Form

Dental Permission Form (Spanish)

Head lice Checklist Form

Head lice Checklist Form (Spanish)

Health Exam Form

Health Exam Form (Spanish)

Health Information 

Immunization Record Form

Immunization Waiver Form

Medication Permission Form

Medication Permission Form (Spanish)
Allergy Survey