Forms
Health Insurance for Uninsured Children

Exclusion Guide

 

School Supply List

Healthwave [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