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Health Services

Department Files
 Authorization for Release of Records
Use this form when your Doctor needs to send information to school
 Medication Forms
Diabetic forms
Emergency injectable
Oral medication forms
Combo Oral and injectable
 Special Activity or Treatment Plans
Use these forms for:
Seizure treatment plans
Activity Guidelines or restirctions
 Immunization Information
Contains information on school required immunizations and additional recommended immunizations
 Medication at School Parent Letter.pdf
Summary of instructions for use of medications at school.
 Dietary Needs Requests
These forms are to be used for dietary requests of the food services department
Department Contacts
+ Cleveringa, Pamela, RN, BSN, School Nurse
+ Kirkham, Noella
Click on name to see details.

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