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Nurse's Clinic
Nurse's Clinic
Laura Goldsmith
Nurse RN
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Immunizations
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Health Forms
It may be necessary to provide one of the following forms.
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Request for Medication Administration
Asthma Action Plan Self-Carry
Authorization of Self-Administration of Medication at School
Consent to Release Confidential Information Form
Food Allergy/Disability Substitution Request Form
Food Allergy Action Plan
Food Allergy Healthcare Plan
Medical Information Sheet
Request for Food Allergy Information
Seizure Action Plan
Seizure Parent Questionnaire
Seizure and Diastat Delegated by Physician Form
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Solicitud de Administración de Medicamentos
Autorización para la autoadministración de medicamentos en la escuela
Solicitud de Substitución de Alergia a la Comida/Discapacidad
Plan de Acción en Alergia a Alimentos
Actualización de Información Médica
Solicitud de Información Sobre Alergias a Alimentos
Plan de Acción para Crisis Epilépticas
Cuestionario para Padres de un Estudiante con Crisis
Respuesta Médica de Emergencia/Delegación del Médico del Medicamento Rescate – Diastat
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