All immunization WAIVERS must be obtained through the Livingston County Health Department (LCHD). To make an appointment, click HERE. Otherwise, contact the LCHD office directly.

2300 East Grand River Ave, Suite 102
Howell, MI 48843
Map to our location
Monday - Friday
8:00 A.M. - 5:00 P.M.
Closed County Holidays
Phone: (517) 546-9850
Fax: (517) 546-6995

Health Forms and Emergency Action Plans

• Anaphylaxis Emergency Action Plan
• Asthma Action Plan
• Food Allergy Emergency Plan
• Medical Condition & Medication Information - from BAS District Nurse
• Medication at School Authorization Form
• Seizure Action Plan
• Consent for Disclosure of Immunization Information
• Physician's Authorization for Specialized Physical Health Care Procedures Administered During School
• Health Appraisal Form

 Parent Information and Resources