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Emergency Care Form

Emergency_Care_Form_2021-22_SY-Fill-In.pdf 200.24 KB (Last Modified on August 24, 2021)

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Anaphylactic Allergy Action Plan

AllergyAction_9-2018.pdf 123.27 KB (Last Modified on September 3, 2018)

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Asthma Action Plan

ASTHMA ACTION PLAN PPS_Oct2013.pdf 402.00 KB (Last Modified on December 4, 2013)

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Rescue Medication Access Permission Form

Rescue Medication Access Form 2018-19_SY.pdf 112.47 KB (Last Modified on July 24, 2018)

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Consent For Medication Administration & Medication Order

Med_Admn_Consent_Med_Order_7-2018.pdf 85.57 KB (Last Modified on July 13, 2018)

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Dentist Report of Dental Examination, Private (H514.027)

Private Dental Exam082011.pdf 18.05 KB (Last Modified on August 23, 2021)

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Diabetic Care Plan (All Ages)

DiabeticCarePlan_Rev_08-2021.pdf 141.73 KB (Last Modified on August 18, 2021)

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Homebound Instruction Request

HB_Request_Rev_08-2021.pdf 175.94 KB (Last Modified on August 30, 2021)

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Medical Plan of Care for School Food Service

Form for students with disabilities and non-disabling special dietary needs

Medical Plan of Care SNP Rev Jan 2021 v2.pdf 173.07 KB (Last Modified on May 19, 2021)

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Transportation Request For Medical Reasons

Med_Transpo_Request_Rev_08-2021.pdf 174.27 KB (Last Modified on August 23, 2021)

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Physical Examination Form

Private or School Physical Examination, PA Dept. of Health H511.336 (rev. 9/2012)

Physical Examine Form_New.pdf 223.89 KB (Last Modified on March 4, 2013)

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Seizure Care Plan

Seizure_Plan_rev_9-18.pdf 128.38 KB (Last Modified on September 3, 2018)

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Diastat - Seizure Plan

Diastat_Seizure_Plan_rev_9-18.pdf 129.24 KB (Last Modified on September 3, 2018)

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