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Jefferson Township Public Schools
Health Services Forms and Documents
Medications in School
MedicationinSchool.pdf
85.79 KB
(Last Modified on May 18, 2016)
Comments (-1)
Lice Handbook
Lice Handbook for Parents.pdf
397.83 KB
(Last Modified on May 18, 2016)
Comments (-1)
Allergy Emergency Action Plan
AllergyEmergencyActionPlan2016 revised.pdf
299.28 KB
(Last Modified on November 1, 2016)
Comments (-1)
Epinephrine Self Administration Form
Epinephrine self administration Form.pdf
114.74 KB
(Last Modified on October 16, 2018)
Comments (-1)
Parent Agreement for Student with Life-Threatening Food Allergies
AllergiesParentAgreement.pdf
7.41 KB
(Last Modified on May 18, 2016)
Comments (-1)
Seating Accommodations for Food Allergy
allergiesseatingaccommodations.pdf
67.87 KB
(Last Modified on May 18, 2016)
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Asthma Action Plan
Asthma Treatment Plan.pdf
241.37 KB
(Last Modified on October 12, 2017)
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Seizure Action Plan & Questionnaire for Parent of a Student with Seizures
Seizure Action Plan.pdf
195.85 KB
(Last Modified on May 18, 2016)
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Medication Permission form
Medication permission form.pdf
207.85 KB
(Last Modified on June 13, 2018)
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Over the Counter Medication Permission form
OTC medication permission.docx - Google Docs.pdf
67.87 KB
(Last Modified on March 21, 2022)
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PSK Eye Form
PSK Eye Form.pdf
40.75 KB
(Last Modified on May 18, 2016)
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Report of Dental Examination
ReportofDentalExam1.pdf
24.65 KB
(Last Modified on May 18, 2016)
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Physical Form (School entry Physical Exam Form)
PhysicalFormK8thgrade2016.pdf
133.28 KB
(Last Modified on November 1, 2016)
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Physical Form (High School Sports/Band Pre-Participation Physical Exam Form)
NEW STATE PHYSICAL FORM 3-2015.pdf
574.63 KB
(Last Modified on September 17, 2020)
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