Skip to main content
School Logo
Saint Olaf Catholic School
R
esponsibly
I
ntellectually
S
piritually
E
motionally
Main Menu Toggle
Admissions
Why Saint Olaf
Inquire Here
Apply Online Today
Academics
Faith and Spirituality
Enrollment Policies
Tuition and Fees
Affording Catholic School
F.A.C.T.S
Programa Pastor's Promise
Uniform Policy
Prospective Family FAQ
Current Families
Calendar
Year at a Glance Calendar
Daily Schedule
Staff Directory
Order School Lunches
Order School Uniforms
Billing Portal
Blackbaud
Track It Forward
Supply Lists
Safe Environment Training
Parent Handbook
Who Do I Contact if...
FAQ
Giving
How we RISE!
Donate
Volunteer
Current Capital Projects
Annual Auction
Wish List
About Our Community
Our Community History
Spirit Shop
Home and School Association
Staff Directory
Activities/Athletics
Sacramental Preparations
Parish News
Photo Galleries
Saint Michael Nomination Award Form
Community Car Show
Alumni
Viking Reflections
Alumni Events
Alumni Directory
Contact
Reserve our Facility
Employment Opportunities
Social Media - Header
Facebook
Instagram
Twitter
Loading...
Editing previous response:
Please fix the highlighted areas below before submitting.
Student Medical History
Student Medical History
Student Medical History. Please complete all questions below.
First Name
Answer Required
Last Name
Answer Required
Student Medical (Current and Past) History
Answer Required
Yes
No
Is your child currently on any medication?
Yes
No
Does your child have any serious or chronic illnesses?
Yes
No
Has your child had serious injuries or accidents?
Yes
No
Has your child had any surgeries?
Yes
No
Has your child ever been hospitalized?
Yes
No
Is your child allergic to any medications?
Yes
No
Has your child ever reacted to immunizations?
Yes
No
Does your child have or has your child ever had asthma?
Yes
No
Does your child have or has your child ever had recurrent cough?
Yes
No
Does your child have or has your child ever had bronchitis?
Yes
No
Does your child have or has your child ever had pneumonia?
Yes
No
Does your child have or has your child ever had nasal allergies?
Yes
No
Does your child have or has your child ever had eczema?
Yes
No
Does your child have or has your child ever had frequent ear infections or sore throat?
Yes
No
Does your child have or has your child ever had problems with ears or hearing?
Yes
No
Does your child have or has your child ever had problems with eyes, vision or teeth?
Yes
No
Does your child have or has your child ever had headaches or other neurological problems?
Yes
No
Does your child have or has your child ever had frequent abdominal pain?
Yes
No
Does your child have or has your child ever had constipation requiring doctor visits?
Yes
No
Does your child have or has your child ever had bladder/kidney problems or bedwetting?
Yes
No
Does your child have or has your child ever had any heart problems/murmur?
Yes
No
Does your child have or has your child ever had anemia or bleeding problems?
Yes
No
Does your child have or has your child ever had any thyroid or other gland problems?
Yes
No
Does your child have Diabetes?
Yes
No
Does your child have ADD/ADHD?
Yes
No
Does your child have any Mental Health issues?
Yes
No
Has your child ever used drugs or alcohol?
Yes
No
Does your child have any food or other allergies
Yes
No
Please give a detailed explanation to any questions that you answered YES to above:
Answer Required
Please include any additional relevant information:
Answer Required
Confirmation Email
Confirmation Email
Email Required
Calendar
Staff Directory
Homework
Directions