Medical Forms
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Medication Authorization Form
This form is to be completed by the student's physician and parent for ANY medication to be administered at school.
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Permission Form for Student to Self-Administer Emergency Medication
This form allows students, with parent permission, to self-administer emergency medication. JHCD FORM-3 must accompany this form.
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School Nurse Health Information - English
Parents should complete this form each year to provide the school nurse with the most up to date health information on thier student.
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Physician Statement for Students Requiring Special Meals
Physician Statement for Students Requiring Special Meals.DHSS.pdf 6.74 KB (Last Modified on May 17, 2019) -
Physical Form - NOT TO BE USED FOR RHS SPORTS PHYSICALS
This form may be taken to your physician when your child has a physical. Return the completed form to your school nurse.