Ridgefield Public Schools

Below are forms that provide medical information and authorization for medication administration to the Ridgefield Public School Nurses. Please download, print and return forms to the School Nurse.

2011-2012 School Immunization Requirements

2012-2013 School Immunization Requirements 

Authorization for the Administration of Acetaminophen and or Ibuprofen - (Parent signature only)

Authorization for the Administration of Medicine by School Personnel

Authorization for the Administration of Specialized Procedures

Diabetes Health Care Forms

Severe Allergy Health Care Forms

Health Assessment Record - Blue Form

Asthma Health Care Forms

Seizure Health Care Forms

Husky School Form

Husky School Form - Spanish 

***All forms require the signature of a Physician unless indicated otherwise***

Viewing and printing these forms requires the use of Adobe Acrobat Reader^®. If you do not have it installed you may download and install it for free by clicking here.