Forms

Application Forms

• Ethics Panel – Application to Provide an Advisory Opinion

Athletic Forms

• Athletic Forms and Guidelines

Extended Day and Overnight Field Trip Forms

• Complete Field Trip Procedures and Forms Packet
• Emergency Procedure/Health Information

Foreign Travel Forms

• Participant Agreement
• Emergency Procedure/Health Information
• Medication/Treatment Order
• School Absence
• Student Conduct

Harassment Forms

Policy 1020 (Sexual Discrimination) and Policy 1060 (Bullying, Cyberbullying, Harassment, or Intimidation) Reporting Forms

• Student (BHI) Reporting Form – For Use by Students and Parents
• Employee (BHI) Reporting Form – For Use by Employees and Third Parties
• Sexual Discrimination/Harassment Complaint Form – Employees and Third Parties

Student Enrollment and Registration

• Enrollment Form

Find out more about Student Enrollment and Registration

Health Forms

• Record of Physical Examination
• Immunization Certificate
• Dental Health
• Health Survey
• Lead Testing Certificate
• 2018 Summer Program Health Form
• COVID Vaccine Informed Consent Form
• Pfizer Vaccine Consent Form for Ages 16+
• Safeway COVID Vaccine Informed Consent Form
• Pfizer Vaccine Consent Form for Ages 12+
  • Evaluación Para Vacuna contra la Covid-19 y Formulario de Consentimiento de Menores Vacuna Pfizer-BioNTech contra la COVID-19
  • COVID-19 疫苗篩查及未成年同意書 輝瑞-BioNTech COVID-19 疫苗
  • 코로나바이러스(COVID-19) 백신 검사 및 미성년자 동의 양식 화이저(Pfizer)-바이오앤택(BioNTech) 코로나바이러스 백신

Health Forms – Staff

• Americans with Disabilities Act (ADA) Medical Questionnaire for HCPSS Staff

Medication Forms

• Physician’s Order
• Diabetes Management – Physican’s Order
• EpiPen order form

Learn more about getting a medication to school →

Responsible Use of Technology and Social Media/Third-Party Services

• Elementary School
• Secondary (Middle and High School)

Related policy:

• Policy 8080

School Facilities Forms

• Use of School Facilities

Student Services Forms

• Absences for Religious Obligation:
  • Static Form
  • Fillable Form
• Extended or Discretionary Absence
• High School Course Placement Review Form
• Note from Home to School Form
• Formal Concern Form
• School Visitation Form
• Student Reassignment Form
• Student Transcript Request Form – Current HCPSS Students
• Teacher Recommendation Request Form – Current HCPSS Students
  • Waiver of Right to Access Recommendation Letters – College Applicants

Former HCPSS Student Forms

Send all transcript and replacement diploma requests to student_transcripts@hcpss.org.