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Back to School and Sports Physicals

Are you ready for back to school? Clinic with a Heart is partnering with Saline Medical Specialties and Public Health Solutions to provide FREE back to school physicals and immunizations. Saturday, July 31, 2021 8:00 a.m. . . .

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REMINDER: Get Your Physicals

Just a reminder that the following students will need physicals before school starts:   * Kindergarten Students * 7th Grade Students *  Students coming in from out of state *  Any student in Grades 7-12 . . .

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Dental Health Information - Waiver

updated 11-05-2018

Dental Health Information Waiver

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Elementary Health Exams

updated 11-05-2018

Physical Examination form Elementary   Vision Evaluation Elementary   Physical - Visual Examination Waiver    

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Medical Statement for Students Requiring Special Meals

updated 11-2018

Special Meals Part 1 Special Meals Part 2 Meal Accommodation Request  

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Student Asthma/Allergy Action Plan

updated Nov 2016

Asthma Action Plan Spanish Asthma Action Plan  

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Immunizations

updated 11-05-2018

Immunization Rules and Regulations 2017 Immunization Clinics Immunization Clinics Immunization Refusal for Medical Reasons Refusal of Immunization due to Religious Reasons  

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School/Sports Physical Forms

Required for 7th grade entry & 7-12 sports

Default Hyperlink Text Physical Examination Waiver

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Student Medication & Health Update Forms

forms updated 2018

Please print off these forms, fill them out and return to the Nurse's office Authorization of Medication  form Health Update Health Update - Spanish

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Diabetes Medical Management Plan

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Food Allergy Action Plan

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