School Forms

Forms

Health Insurance for Uninsured Children

He althwave [Spanish] Kansas Health insurance for uninsured children. Low cost or no cost insurance includes medical, dental, vision and prescription coverage.

MO HealthNet Managed Care (formerly MC+ Managed Care) - Missouri Health insurance for uninsured children. Low cost or no cost insurance includes medical, dental, vision and prescription coverage.

Student Assurance Services, Inc.

Student Assurance Services, Inc. Student accident insurance and forms are available in the nurses office. For the website, go to www.sas-mn.com for the student accident forms. Then click K-12 students/parents. Accident Insurance Certificate

Contact Lyn Wilson, RN for more information or claim form @ wilsonlyn@stagneskc.org or 913-262-1686

Uniform Price List

School code: KS0157

913-495-9489

DressCode

School code: 900068933

800-469-2222

Go to Lands' End School-Uniforms to outfit your boys and girls in clothing that meets dress codes and exceeds expectation!

Shop online at www.landsend.com/school

* School Forms *
Returning Student Note	Emergency Consent	Emergency Information & Medical Treatment Consent
	FERPA	Family Education Right to Privacy Act
Kindergarten & New Student Note	Medication	Medication Authorization
	KCI	Kansas Certificate of Immunization
PreSchool & Montessori Student Note	Physical	Medical Records For All Children
	Dental	Dental Card
Ancilliary Forms
	KDHE	Medical Exception - Form B
		Self Administered Medication Release Form
	SMSD	Count Your Kid In [SMSD] [Spanish]
	KDHE	Kansas Statues Related to School Immunizations
	See to Learn	See to Learn Brochure [Spanish] Vision Screening for Children Eye Care Council, Inc. See To Learn Report Card
* Action Plans *
	American Lung Association	Asthma Action Plan
	American Diabetes Association	Diabetes Action Plan
	Food Allergy and Anaphylaxsis Network	Food Allergy Action Plan
	National Epilepsy Foundation	Seizure Action Plan

Other Forms

After School Study Skills Program

Field Trip Permission

Paperless Friday

Parental/Guardian Consent Form and Liability Waiver for Walkers

Permission for Media Release

Service Hours

Service Project

See to Learn Brochure [Spanish]