Nursing Services and Resources

Physical Exam Forms

Oral Health Assessment Forms

Oral Health Program Notification Letter: English | Spanish

Oral Health Assessment Form: English| Spanish

Oral Health Assessment Waiver Request Form: English | Spanish

LAUSD Partner Provider Dental Screening Opt-Out Form: For the on-site free dental screening by a licensed dental professional provided at certain schools. English | Spanish

LAUSD Partner Dental Providers:

General Region East Region North Region South Region West

Orthodontics: (Braces/Retainers)

LA Trust Dental Clinics By Region:

Region East Region North Region South Region West

Permanent Health History

Medical Statement to Request for Special Diet

Field Trip Forms

Field Trip Personal Health History Form

English ONLY (updated 2/20/26)

Medication Form for OVERNIGHT Field Trips

Armenian | English | Korean | Spanish

For Medication name/s NOT LISTED on the form for Overnight Field Trips, use the form below: