Health Conditions

Department Page: 

Prior to the beginning of each school year, students with a health condition should fill out the appropriate forms below:

Zumbrota-Mazeppa Schools Health Information Form

This form is to be filled out by K, 3rd, 7th, and 10th grade students each year. All new students to the school district will also be asked to fill out this form. Students being evaluated for special education or 504's should update this form annually.

Authorization to Release Protected Health Information Form

Please fill out one of the authorization forms below so that the health office staff may communicate with your primary care providers/specialists to discuss health conditions as needed.

Mayo Clinic Authorization
Generic Authorization

Seizure Action Plan

Allergy Action Plan

Health services DOES NOT stock Epi Pens

Asthma Action Plan: 

Mayo and Olmsted use their own. Or you can have the physician complete the link above.

Diabetes Medical Management Plan


Other Resources:

Epilepsy Foundation of MN:


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