Health Forms and Medical Information


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Health Announcements

     Meningitis is a potentially fatal illness that may strike at any time. Nearly 10% of those affected, will die from the disease. In some cases-even with treatment-this disease can potentially kill an otherwise healthy young person in less than 48 hours. Those who survive the disease may suffer hearing loss, brain damage and loss of limbs.
     A person can catch meningitis by having contact with someone who has the bacteria in their nose or throat (some may not even be sick/or have symptoms, but still be spreading the disease).
Why take a chance? Most adolescent cases in the US (up to 83%) could potentially be prevented by a single vaccination that has proved to be safe. This vaccine is available at the Williams County Health Department at a cost of $10.00 for adolescents 18 years and under. Many colleges require this vaccine for admission.
     Please call the health department (419) 485-3141 or private physician, if you have any questions.


Forms (Please click on any of the following for a printable form.)

General Medication Form

Non-Prescription Medication Instructions

Elementary Non-Prescription


Prescription Medication Guidelines

Medication Drop-Off and Pick-Up Instructions

Seizure Action Plan

Asthma Action Plan ALA

Asthma Action Plan Spanish ALA

Diabetes Medical Management Plan

Food Allergy & Anaphylaxis Emergency Care Plan




EpiPen Information

Food Allergies

Glucagon Information

Head Lice

Human Trafficking

Immunization Schedules

Medication Forms

See Medication Forms required for use of medications at school



See Seizure Action Plan