Last Updated on Monday, 29 January 2018 14:51
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 . This is for any over the counter medication you have not already approved me to give your student.
Immunization Exemption Form . Required by the State of Vermont if you do not wish your child to be immunized for any routine vaccine.
Sports Physical Form . Preferred form by the Department of Education.