AGENCY: Jordan School District (Utah)
SERIES: 26803
TITLE: Student health cards
DATES: 1927-
ARRANGEMENT: Alphabetical by name
DESCRIPTION: These records are used to document any student health concerns that school personnel should be aware of. These cards are used as an emergency reference only and are available to personnel in the event that a health concern arises. Information contained on the cards includes: student name; date of birth; grade; teacher; parent(s) name, home phone number, and work phone number; medical provider and their phone number;a description of any serious health concerns; special needs; the name, reason, dosage , and time given for any medications; and given permission to share information with school personnel. At the beginning of each new school year, parents are asked to fill out a new health card for each student in their family as part of the registration process. These new cards then supersede the prior years' cards in order to avoid conflicting information being given to personnel. These enrollment forms are completed by the parents (or guardians) of all enrolled students for reference use during the school year. They include the date, pupil's name, grade, social security number, birthdate and place, sex, age, pupil's home address and telephone number; mother's and father's/legal guardian's full names, business, and home telephone numbers; name, address, telephone number, and relationship of person authorized to pick up child in case of emergency; medical information including physician's name or medical group and telephone number; indication whether child is allergic to any medication and whether child is currently taking any medication; school last attended (name, address, and telephone number); and parent's or guardian's signature. The enrollment form may also include language spoken at home, names and birthdates of siblings, kindergarten preference (morning or afternoon), whether birth certificate was verified, and teacher's signature.
RETENTION
Retain for 2 year(s) after superseded
DISPOSITION
Destroy.
RETENTION AND DISPOSITION AUTHORIZATION
Retention and disposition for this series is authorized by Archives general schedule Student enrollment and registration, GRS-1501
AUTHORIZED: 07/10/2008
FORMAT MANAGEMENT
Paper: Retain in Office for 2 months after being superseded and then destroy.
APPRAISAL
Administrative
PRIMARY DESIGNATION
Private. UCA 63G-2-302(1)(b)