School and Medical Forms

Elim strives to ensure the health and safety of each person entrusted to our care.

We are committed to promoting the health, safety and security of our staff, our students, and those who depend upon our services. Below you will find relevant forms that we may need to ensure the safety and health of your loved ones. Contact the nursing office at

School Forms

Return to School

Field Trip Plan Special Medical Needs

Special Olympics Participation Form

Medical Forms

Dental Exam Form

Physical Exam and Immunization Form

Prescription Medication Order

Physical Therapy Perscription

Occupational Therapy Perscription

Seizure Action Plan

Special Diet Order