The following list includes all of the required and optional medical forms, as well as information documents you may need.
|Anaphylaxis Emergency Action Plan May 2023|| Download|
|Asthma Management Plan May 2023|| Download|
|CDC Heads Up Athlete Fact Sheet|| Download|
|CDC Heads Up Parent Fact Sheet|| Download|
|Diabetes Medical Management Plan May 2023|| Download|
|Healthcare Consent Form May 2023|| Download|
|Meningitis Parent Information|| Download|
|Prescription Medication Self-Administration Form May 2023|| Download|
|Seizure Action Plan May 2023|| Download|
|Sudden Cardiac Arrest Fact Sheet for Parents|| Download|
|Sudden Cardiac Arrest Fact Sheet for Students|| Download|
|Immunization Requirements 2023-2024 May 2023|| Download|
|Vaccine Medical Exemption Form|| Download|
|Vaccine Religious Exemption Form|| Download|
|Student athletes: IHSAA Rule 3-10 requires that “Between April 1 and student’s first Practice in preparation for interschool athletic participation, the student shall have a physical examination by, or shall provide certification from, a physician holding an unlimited license to practice medicine, a nurse practitioner or a physician assistant, who shall clear the student for athletic participation using the current IHSAA Pre‐Participation Evaluation form.”|
It is preferred that IASMH students complete their Sports Physical with their home provider.
The completed physical must be submitted through Burris Laboratory Final forms (burrislaboratory-in.finalforms.com).
|IHSAA Physical Form|| Download|
The following forms can be filled out and submitted online.
All forms will open in a new tab or window.
|Family Address Change Form||Online|
|Ball Gym Waiver for Parents||Online|
Some of the following forms can be downloaded and printed out. Others can be downloaded, filled out, and submitted via email.
|Core Course Substitution Form May 2022||Download|
|Parent Permission Form for Dual Credit January 2021||Download|
|BSU Class Registration Form for Indiana Academy Students May 2023||Download|
|Online HS Course Providers||Download|
Air Conditioner Forms
|Student Request for Air Conditioner July 2022||Download|
|Medical Verification for Air Conditioner July 2022||Download|
|Pre-Arranged Absence Form June 2023||Download|
|Request for Level II Privileges January 2021||Download|
|Request for Level III Privileges January 2021||Download|
|Request for Level IV Privileges January 2021||Download|
Financial Aid Forms
|Academy Residential Financial Aid Packet May 2023||Download|
|NECP Overnight Permission Form September 2023||Download|
|Meal Pick-Up Form for Illness or Temporary Physical Issue January 2022||Download|
Students nominate any faculty, staff or administrator through this nomination form who is demonstrating intentional effort toward furthering education and/or programming around Diversity, Equity, and Inclusion in their classes or around the Academy.
|Royalty Recognition Form March 2022||Download|
Student Equity Council Open Forum
|Parent Permission Form November 2022||Download|
Incident Report Forms
|Bias Incident Report Form August 2023||Online|
|Report Form for Bullying, Intimidation, and Harrassment||Download|
|Bike Program Release Waiver||Download|
|Community Service Form June 2023||Download|
|Educational Technology and Resources Collection Checkout Form||Download|
|Form F: Media Release Form||Download|
Contains most of the rules and regulations for students of the Indiana Academy.
Policies + Annual Announcements
The following documents contain important information regarding Indiana Academy policies and procedures. They are subject to change, but the most current versions will always be posted here.
Annual Asbestos Management Plan and Pesticide Notification Registry
An Asbestos Management Plan for The Indiana Academy is required by the Environmental Protection Agency under existing federal law. This plan is on file with the appropriate agencies. Federal Law requires that parents be notified that the plan is also on file at the Front Desk at Wagoner Hall and may be viewed by anyone who is interested.
Indiana Code (357 IAC 1-16.8) requires that parents, guardians, and staff be invited to be added to a pesticide notification registry on an annual basis. If you are interested in being added to our notification registry, please
contact Natalie Huggins at 765-285-8124, or stop by the Wagoner Hall front desk.
|Interim Title IX Sexual Harassment Policy and Procedures January 2021||Download|
|Indiana Academy Non-Discrimination and Anti-Harassment Procedure January 2021||Download|
|BSU University Schools Policy and Procedures on the Use of Restraint and Seclusion|
Nov. 2014 – New policy document for 2014-2015 regarding specialized disciplinary actions.
|Academic Intervention Process||Download|
|Section 504 Referral Process||Download|
|Special Education Referral Process||Download|