health photo

Health History Form

Please complete the following health history form for each child enrolled in Searcy School District. The form may be found at the bottom of this page. Follow the instructions below to submit.

  1. Access the link from your personal computer.

  2. Fill in the fillable health history form.

  3. Print the document.

  4. Sign both parent signature spots on page 1.

  5. Take a photo of both pages and email it to the nurse listed at your child’s campus OR drop off at the student’s campus office.

Searcy School District Health History Form


Nurse Contact Information

McRae Elementary School- cookt@searcyschools.org

Sidney Deener Elementary School- dbaxter@searcyschools.org

Westside Elementary School-sfancher@searcyschools.org

SWMS-jmarter@searcyschools.org

AJHS- rforcier@searcyschools.org

SHS-adutton@searcyschools.org