Required Forms


You will find all of the forms here that you may need throughout the school year. You can fax them to me at: 223-9227 or send them to

Elizabeth Bailey, BSN, RN, NCSN

5 High School Drive

Montpelier, VT 05602


Annual Health Questionnaire

Asthma Action Plan

Prescription Medication Form

Over the Counter Medication Form pdf_button.  This is for any over the counter medication you have not already approved me to give your student.

Immunization Exemption Form pdf_button. Required by the State of Vermont if you do not wish your child to be immunized for any routine vaccine.

Sports Physical Form pdf_button. Preferred form by the Department of Education.

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