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Medication Forms

Casts and Crutches

Casts and Crutches . New 003.pdf 120.79 KB (Last Modified on June 10, 2022)

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Authorization for Specialized Physical Health Care

AUTHORIZATION FOR SPECIALIZED PHYSICAL HEALTH CARE PROCEDURE.docx 20.62 KB (Last Modified on May 19, 2020)

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Allergy Action Plan

Allergy Action Plan for MD.doc 204 KB (Last Modified on May 19, 2020)

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Authorization for Medication Spanish

Auth for Medication Admin - Spanish 20.docx 51.58 KB (Last Modified on May 19, 2020)

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Authorization for Medication English

Auth for Medication Admin - English 20.docx 45.45 KB (Last Modified on May 19, 2020)

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Questionnaires

Allergy

Allergy Questionnaire ENG- SPAN.docx 90.23 KB (Last Modified on May 19, 2020)

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Asthma

Asthma Questionaire Revised 2015.doc 104 KB (Last Modified on May 19, 2020)

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Heart

Heart Defect Questionnaire.pdf 16.67 KB (Last Modified on September 18, 2017)

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Seizure

Seizure Questionnaire.pdf 19.93 KB (Last Modified on September 18, 2017)

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Health Examination Form

Health Examination Form - English

New Student Physical Form Eng.pdf 32.01 KB (Last Modified on September 18, 2017)

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Health Examination Form - Spanish

New Student Physical Form Span.pdf 35.65 KB (Last Modified on September 18, 2017)

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Meal Accommodation Form

Meal Accommodation Form

Special Meals Accommodation.pdf 271.6 KB (Last Modified on May 19, 2020)

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Immunizations

10 Day Immunization Exclusion Letter

immunization exclusion letter..pdf 852.68 KB (Last Modified on July 30, 2021)

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Release of Information

Release of Information - English/Spanish

PSUSD_-_ROI_-_Authorization_of_Release_of_Information_-_NEW 4.12.19.pdf 389.93 KB (Last Modified on May 19, 2020)

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