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Spring-Ford Health Services Files
Health Forms
 NameCreatedAction
Allergy Action Plan 2016.pdf
Please complete for students who suffer from allergies.
2/22/2016
Asthma Action Plan 2016.pdf
The Asthma Action Plan should be completed by a doctor.
3/29/2016
Asthma Inhaler Permission 2016.pdf
Students in grades 5-12 who have a prescribed inhaler may carry the inhaler while at school. The following form must be completed in order for your child to carry his/her inhaler while at school.
2/22/2016
Bee Sting Allergy Action Plan 2016.pdf
Bee sting allergy action plan
2/23/2016
Field Trip Permission Form 2016.pdf
In case of an emergency, illness, or accident during school hours, please list where a parent or guardian and additional emergency contact can be reached.
2/22/2016
Medication Administration Form 2016.pdf
In accordance with school policy, medication(s) should be given at home before and/or after school. However, when this is not possible, the student must provide the school nurse with a Medication Administration Consent Form completed by both the studentís parent/guardian and physician.
3/3/2016
PA State Dental Form 2016.pdf
Private dentist report of dental exam of a school aged pupil. Pennsylvania School Health laws require students to have a dental examination upon entry to school (Kindergarten and 1st grade), grade 3 and grade 7.
2/22/2016
Physical Exam Form 2016.pdf
Pennsylvania School Health laws require students to have a physical examination upon entry to school (Kindergarten or 1st grade), in grade 6, and in grade 11.
3/29/2016
Seizure Action Plan 2016.pdf
This form should be completed if a student is being treated for a seizure disorder. The information should assist staff if a seizure occurs during
school hours.
2/22/2016
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