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Athens City Schools

A community connected by education.

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Student Health

  • Our Purpose
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  • Athens City Schools
  • Medical Forms

Athens City Schools Medical Forms

  • Medication Prescriber Parent Authorization Form

    Medication Prescriber Parent Authorization Form

    Parent Prescriber Authorization 2019.pdf 387.06 KB (Last Modified on May 28, 2019)
    Comments (-1)
  • Medication Prescriber Parent Authorization Form  (Spanish)

    Medication Prescriber Parent Authorization Form (Spanish)

    Medical Forms - SHP PPA Spanish 6.pdf 126.57 KB (Last Modified on August 29, 2017)
    Comments (-1)
  • Scoliosis Referral to Physician Form

    Scoliosis Referral to Physician Form

    Medical Forms - Scoliosis form.pdf 69.63 KB (Last Modified on August 29, 2017)
    Comments (-1)
  • Special Diet Prescription Form

    Special Diet Prescription Form

    Medical Forms - SHP Diet Prescription for Meals at School.pdf 157.86 KB (Last Modified on August 29, 2017)
    Comments (-1)
  • Student Health Assessment Record

    Student Health Assessment Record

    Alabama School Health Assesment Record.pdf 314.99 KB (Last Modified on May 28, 2019)
    Comments (-1)
  • Student Health Assessment Record (Spanish)

    Student Health Assessment Record (Spanish)

    Medical Forms - SHP Health Assessment Record in Spanish.pdf 527.06 KB (Last Modified on August 29, 2017)
    Comments (-1)

455 US Highway 31 N., Athens, AL 35611

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p: 256-233-6600

f:

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p: 256-233-6600

f:

Athens City Schools is committed to providing an accessible website to all visitors. Should you encounter any difficulty with the ACS website or its contents, please contact us at 256-233-6600 or click the Website Feedback link above. Regarding educational opportunities: It is the policy of the Athens City Board of Education not to discriminate on the basis of race, color, national origin, sex, disability, age, religion, or marital status in the education programs, activities or employment, and provides equal access to the Boy Scouts and other designated youth groups. The following person has been appointed to coordinate compliance efforts: Title IX/Section 504/ADA – Mrs. Dimika Cummings 256.233.6600.
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