This page is to help provide a copies of the most used Kentucky Department of Education (KDE) and Jefferson County, Kentucky Public School (JCPS) forms that the physician may be required to complete on the behalf of a patient. Should a form not be present here, please visit the JCPS Web Site or the KDE Web Site to find the appropriate form.
Physical Exam
Medical
- Asthma/Allergy Form
- Diabetes Form
- Feeding/Swallowing/G-tube Form
- Respiratory Form
- Seizure Form
- Other Health Conditions Form
Dental
Vision
Miscellaneous
- JCPS School Year Calendar
- Norton Concussion Card
- Concussion Statement
- Athletic Manual
- Athletic – Parent Permission Form
- School Health Exam Parent Permission
- Authorization to Give OTC Medications
- Authorization to Give Prescription Medications
- Photo/Video Tape Release Form
- Sports Safety Video Form
- Sports Safety Course Guide
- KHSAA Heat Injury Information
- Certificate of Medical Exemption
- Certificate of Religious Exemption
Kentucky Regulations
- KRS 158.160 –Voluntary Compliance
- KRS 214.034 – Immunization of Children
- KRS 158-035 – Certificate of Immunization
- 42 C.F.R. § 440.110 – Therapy Services
This list is by no means comprehensive. Should there be an error or blatant omission, please inform us immediately.