Medication Forms
Medications At School
A student who requires medication during the course of the school day must have written permission from both his/her parent or guardian and physician, detailing the medication, method of administration, amount, and time it is to be given.
Parents/Guardians must bring the medication to the school office in its original container, with the correct dosage, administration information, and student’s name printed on the label.
A new medication form must be completed each school year.
Medication forms can be accessed for each school site (see links below). All medication forms are also available in the school office.
Mandated Health Screenings
Per California State Law, school nurses coordinate mandated screenings for the following grade levels:
- Vision K, 2, 5, 8
- Hearing K, 2, 5, 8
- Color Vision K boys only
If your child does not pass one of the above screenings, a referral will be sent home.
Physical Health Examination (CHDP) Requirement
To protect the health of children, California law requires that
students receive a health assessment within 18 months prior to a
student beginning their first grade year. Roseville City
School District requires that this is completed in the
Kindergarten year. Please complete the health exam report (below)
with a health examiner and return it to the school.
Health Examination for School Entry - English/Spanish
WAIVER of Health Examination for School Entry - English/Spanish
Oral Health Form
Effective January 1, 2007, students in their first year of a public school must submit proof of oral health assessments. The assessments must be performed by a licensed or registered dental health professional, and proof of assessment is due on an annual basis by May 31.
Oral Health Assessment - English
Formulario de evaluación de la salud bucal - Español
Title![]() |
Type | Attachment |
---|---|---|
Blue Oaks Elementary | Medication Form | |
Brown Elementary | Medication Form | |
Buljan Middle | Medication Form | |
Chilton Middle | Medication Form | |
Cirby Elementary | Medication Form | |
Cooley Middle | Medication Form | |
Crestmont Elementary | Medication Form | |
Diamond Creek Elementary | Medication Form | |
Eich Middle | Medication Form | |
Fiddyment Farm Elementary | Medication Form | |
Gates Elementary | Medication Form | |
Junction Elementary | Medication Form | |
Kaseberg Elementary | Medication Form | |
Orchard Ranch Elementary | Medication Form | |
Riego Creek Elementary | Medication Form | |
Sargeant Elementary | Medication Form | |
Spanger Elementary | Medication Form | |
Stoneridge Elementary | Medication Form | |
Thomas Jefferson Elementary | Medication Form | |
Woodbridge Elementary | Medication Form |