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Jefferson Township Public Schools
Health Services Forms and Documents
Allergy Emergency Action Plan
AllergyEmergencyActionPlan2016 revised.pdf
299.28 KB
(Last Modified on November 1, 2016)
Comments (-1)
Allergies - Epinephrine Self Administration Form
Epinephrine self administration Form.pdf
114.74 KB
(Last Modified on October 16, 2018)
Comments (-1)
Allergies - Parent/Guardian Agreement
AllergiesParentAgreement.pdf
7.41 KB
(Last Modified on May 18, 2016)
Comments (-1)
Allergies - Seating Accommodations for Food Allergy
allergiesseatingaccommodations.pdf
67.87 KB
(Last Modified on May 18, 2016)
Comments (-1)
Asthma Action Plan
Asthma-Action-Plan_Home_School.pdf
242.59 KB
(Last Modified on September 26, 2023)
Comments (-1)
Dental Examination Form
ReportofDentalExam1.pdf
24.65 KB
(Last Modified on May 18, 2016)
Comments (-1)
Emergency Medical Information form
Emergency Medical Information Form.pdf
193.61 KB
(Last Modified on September 13, 2023)
Comments (-1)
Eye Exam Form (Preschool/Kindergarten)
PSK Eye Form.pdf
40.75 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)
Lice Handbook (Spanish)
Lice Handbook - Spanish.pdf
52.7 KB
(Last Modified on October 31, 2023)
Comments (-1)
Medication Permission form
Medication permission form.pdf
207.85 KB
(Last Modified on June 13, 2018)
Comments (-1)
Medications in School
MedicationinSchool.pdf
85.79 KB
(Last Modified on May 18, 2016)
Comments (-1)
New-to-country - English
New-to-Country students - English - Google Docs.pdf
78.62 KB
(Last Modified on May 3, 2024)
Comments (-1)
New-to-country - Spanish
New to Country students - Spanish - Google Docs.pdf
71.97 KB
(Last Modified on May 3, 2024)
Comments (-1)
Over the Counter Medication Permission form (High school and Middle school)
OTC medication permission.docx - Google Docs.pdf
67.87 KB
(Last Modified on March 21, 2022)
Comments (-1)
Physical Form (School entry Universal Child Health Record)
Universal Child Health Record.pdf
48.21 KB
(Last Modified on November 18, 2022)
Comments (-1)
Seizure Action Plan & Questionnaire for Parent of a Student with Seizures
Seizure Action Plan.pdf
195.85 KB
(Last Modified on May 18, 2016)
Comments (-1)
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