District Forms

Medical Forms

    Health Care Plans
Diabetes
Allergies

Asthma
Seizures

    Medication Forms
Medication Permission Form 
Self-Carry & Administration Form *Please note ONLY emergency medications can be self-carried
Medical Forms can be faxed to your student's building below.
Note, all medications must be brought in by a parent/guardian. 

    Fax Numbers
    Lake Shore High School (586)-285-8904
    North Lake High School (586)-285-8783
    Kennedy Middle School (586)-285-8804
    Masonic Elementary (586)-285-8504
    Rodgers Elementary (586)-285-8604
    Violet Elementary (586)-285-8704

Lake Shore Public Schools follows the Macomb County Health Department's Covid-19 K-12 & Child Care Guidelines and Management Guidelines for
Communicable Diseases

 Covid -19
Covid-19 K12 Guidelines
Covid-19 Child Care Guidelines

Communicable Diseases
Communicable Disease Management

Dr. George LewisKatie Weidman
District School Nurse
(586) 285-8919
Send Email

Dr. George LewisApril Trontl
CNA at Rodgers Elementary

(586) 285-8655
Send Email



Dr. George LewisJodie Bommarito
RMA at Masonic Elementary

(586) 285-8519
Send Email



Dr. George LewisJennifer Wilson
RMA at Violet Elementary

(586) 285-8711
Send Email