Health Forms

The forms below are provided for parent convenience in providing required and supplemental medical information for student enrollment at Lakeland School. If you have any questions, please call the School Nurse at (262) 741-4132.

Required:

  1. Medical Information - Consent Form -2022-2023
  2. Student Physical Examination Report (PDF)
  3. Student Immunization Record - Wisconsin Department of Health Services 06-2020 (PDF)

Supplemental:

  1. Prescription Medication Administration Consent Form (PDF)
  2. Seizure Intake Form (PDF)
  3. Follow-Up Care for Return to School (PDF)