Michigan City Area Schools

Responsive Web Design

Downloadable Forms

Please print and complete these forms and return to your school nurse/school office.

Allergy Action Plan Packet

(includes letter to parent/guardian, Allergy Action Plan Form #528, Epi-pen instruction sheet, Diet Prescription, and Prescription and Non-Prescription Medication Authorization forms)

Diet Prescription for Meals at School (Form #526)

Notice of Incomplete Immunizations (Form #165)

CHIRP Authorization (Form #547) - allows your child's immunization history to be in the state database

Vaccine Medical Exemption Form

Religious Objection to Immunization

Medications:

Authorization to Administer Prescriptive Medication (Form #241)

Parental Permission to Administer Non-Prescription Medication (Form #239)

IHSAA Physical Evaluation Form

IHSAA Physical Evaluation Form (En Espanol)