Luverne Health Office
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Annual Health Form
Prescription Medication Consent Form
Over the Counter Medication Consent Form
Immunization Conscientious Objector Form
Athletic Physical Form
Asthma Action Plan-Please complete this form if your child has asthma.
Anaphylaxis Action Plan-Please complete this form if your child has allergies.
Diabetes ER Plan-Please complete this form if your child has diabetes.
Seizure Action Plan - Please complete this form if your child has a seizure disorder. 
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  • Home
  • Health Forms
  • Flu Clinic
  • Health Screenings
  • Immunization Information
  • District Health Policies
  • Head Lice
  • School Health FAQ's