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Student Information Form

 

Each student must have a completed and signed Student Information Form on file in the nurse's office in order to receive nursing services. The parent/guardian’s signature authorizes the following: treatment in the event of an emergency and the release of medical information to staff on a need-to-know basis.

 

To keep information current, new student information forms are issued to all students each year.  Please contact the school whenever there is a change in the required information.  Providing appropriate emergency health care requires access to student information that is current and accurate.
 
Parents who plan to be away from home for an extended period of time are encouraged to notify the school, in writing, of alternate emergency phone numbers and contact persons.
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