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School Health Forms and MORE

Back to School Health Clinic

 

SCHOOL CLINIC CONSENT   
(Printable Form to Complete)

 

 

CONSENTIMIENTO DE LA CLÍNICA ESCOLAR
 (Formulario imprimible en español para completar)

 

Medication Administration PERMISSION Form 
(Printable Form to Complete)
 
 

Formulario de Admin de Medicamentos PERMISIÓN DE PADRES

(Formulario imprimible en español para completar)

 

 

Head Lice Removal Instruction Sheet
(Printable Checklist to Complete)

 

 

HOJA DE INSTRUCCIONES PARA

REMOCION DE PIOJOS

(Formulario imprimible en español para completar)

 

 

Food Accomodation Health Care Provider Signature

 (Printable Form to Complete)

 

 

Physical Examination Form - ENTRY, 6TH GRADE and TRANSFER

 (Printable Form to Complete)

 

Kentucky Eye Examination Form for School Entry

 (Printable Form to Complete)

 

Kentucky Dental Screening/Exam Form (age5-6)

 (Printable Form to Complete)

 

SPORTS PHYSICAL Examination Form (GRADES 5-8)

 (Printable Form to Complete)

 

SPORTS PHYSICAL Parental and Student Consent and Release (GRADES 5-8)

 (Printable Form to Complete)

 

SPORTS PHYSICAL Examination Form (GRADES 9-12)

 (Printable Form to Complete)

 

SPORTS PHYSICAL Parental and Student Consent and release (GRADES 9-12)

 (Printable Form to Complete)

 

 

School nurse with four students holding hands

 

 

Resources

BED BUGS INFORMATION PACKET

 

BED BUG IDENTIFICATION

 

BED BUGS AND SCHOOLS
(EPA GUIDANCE External Link)

 

DOWNLOAD A BED BUG BROCHURE

 

AMERICAN ACADEMY OF PEDIATRICS POLICY ON HEAD LICE
(External link to clinical report)

 

INFULENZA: A GUIDE FOR PARENTS
(CDC Printable flyer)

 

FREQUENTLY ASKED QUESTIONS ABOUT THE FLU
(External link to CDC)

 

PERTUSSIS (WHOOPING COUGH)
(CDC Printable flyer)

 

CONCUSSIONS: SIGNS AND SYMPTOMS
(CDC Printable flyer)

 

LOCAL DENTISTS