Hello Monte Vista Families,

On this page you will find the following Medical Authorization forms.  Download as needed.

Please review the general policy guidelines on the reverse of each form.

If you have any questions or concerns, please call the health office at (951) 894-5085 x2993

Thank you, 

Michele K. Hanley

Medical Authorization Form

Medical Authorization Form for Self-Administration of Prescribed Medications

Asthma Action Plan