Parents/Guardians should provide the following at the start of each school year:

Please Note:

Some of the forms below require completion and signature of your healthcare provider as well as the parent/guardian signature.


The parent and student along with the healthcare provider and the school nurse will work together to determine if the student will self-carry and/or self-administer their reliever/rescue medication in 5th grade or higher. If a student is not able to self-carry and/or self-administer rescue medication, such medications will be readily accessible to the student and appropriate staff trained in administration.

If it is determined that a student will self-carry and/or self-administer in addition to the above forms the health office will also need:

Self Carry

To be completed and signed by your healthcare provider

  • 3. Medication (unexpired and in the original container) to be used at school including any needed spacers, mask, tubing (the health office DOES have a nebulizer)

Health Service Question?

Please Contact:

Candace Westlund

Licensed School Nurse

Candace Westlund

Licensed School Nurse

Fall 2020 School Opening


  • Distance Learning Model. This is how school operated from March 30 to May 31 with instruction being done while students remain at home.
  • Back to School as Normal. This would be bringing everyone back to school in full attendance.
  • A Hybrid Model. This is a model that is in between the two previously listed, where some students attend one day, others attend another, etc.

Please note:  Per MDE, given local pandemic circumstances, it is possible that schools could use all three models throughout the year.


  • The Minnesota Department of Education (MDE) will make the decision during the week of July 27.
  • All MN public schools will be required to adhere to this decision.


  • Current guidance from MDE is that masks will not be required, but their usage is strongly recommended.
  • We will let families make their choice based on this recommendation.

Please note: This guidance from MDE is subject to change.