Health Services

Health Services Announcement

The St. Croix County Public Health Department will be providing a free influenza immunization clinic for school-aged children on Tuesday, October 29th. If you would like your child to receive the injectable influenza vaccine, a parent or legal guardian must fill out a consent form, unless the student is 18 years of age. The parent does not need to be present at the clinic if the child brings a signed consent form. Please return the signed and dated consent form to school no later than Friday, October 25 th. The consent form and the vaccine information sheet are posted on the school website and are available at the school offices. 

8:30 am Greenfield Elementary School

10:30 am Baldwin-Woodville High School

1:00 pm Viking Middle School 

If you have any questions regarding the clinic, please contact your school nurse. 

2024 Vaccine School Consent Form for Children

Flu Information

2024 Vaccine School Consent Form for Children (Spanish)

Flu Information (Spanish)

Health Services Contacts

Greenfield Health Services
Mary Staiger, CMA
715-684-3334 x2104
Email Mary Staiger

Viking Health Services
Jessica Yunker, CMA
715-698-2456 x3152
Email Jessica Yunker

High School Health Services
Kayla Mikla, RN
715-684-3321 x4152 
Email Kayla Mikla

Health Services Forms

BWSD Epinephrine Medication Form - EPI Pens (Dr. Signature Required)

BWSD Glucagon Medication Form - Glucagon Injectable (Dr. Signature Required)

BWSD Inhaled Medication Form - Inhalers and Nebs (Dr. Signature Required)

BWSD OTC Medication Form - Over the Counter Medications

BWSD Prescription Medication Form - Prescription Medications (Dr. Signature Required)

Student Immunization Record - Student Immunization Record/ Waiver form from the State of Wisconsin (multi-lingual).

Student Insurance - Supplemental accident insurance for students.