Click the links below to download the following forms.
Student Health Information Form
Request for Administration of Prescription Medication
Request for Administration of Non-Prescription Medication
Immunization Forms
Student Immunization Law
Where to get Immunizations
Physician Ordered Procedure Forms
Medical Statement for Special Dietary Needs
Completed forms can be emailed to Aramark at dietitian@rusd.org or mailed to: Racine Unified School District, C/O Aramark, ATTN: Dietitian, 2333 Northwestern Ave, Racine, WI 53404.
A Medical Statement for Special Dietary needs must be complete and on file with the dietitian before accommodations are made. We are required to provide accommodations for special dietary needs based on a qualifying disability if the medical statement is completed and signed by a state-authorized medical authority.
All medical statements that are signed by a state-authorized medical authority that does not have a qualifying disability, will be accommodated at the District's discretion. We will do our best to ensure that your child receives a safe and nutritious meal that fits his/her specific dietary needs while meeting meal pattern requirements.
