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Health Room
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Ms. Janet Sijon
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School Nurse |
Room 601 |
355-3307
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Medication/Treatment Authorization Forms
(get your forms here)
Does your child use emergency medications for bee sting or food
allergies, do they use an inhaler for asthma, take medicine for headaches?
Complete the appropriate form, have the child’s primary care provider sign and
return it to the secretary or nurse, along with the medication. It will allow
your child to have medication at school to use it when needed.
This is needed for
prescription and over the counter medications. Click on links below.
Parental Permission For Medication At School
Physician's Authorization for Medication To Be Given At School
Medical Exclusions from School/Reasons to Stay Home from
School
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Nurse's judgment or
parental discretion
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Fever over 100 orally
within 24hr
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Active vomiting within
24hr
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Diarrhea within 24hr
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Swollen or painful
joints from injury
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Severe earache
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Suspected contagious
diseases (until on treatment for 24 - 48hrs)
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chicken pox
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conjunctivitis (pink
eye)
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pediculosis (head
lice)
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scabies
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Injury or illness
requiring further immediate treatment
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Suspected substance
abuse
My Responsibilities:
- Develop individual
health care plans for students
- Assist families in
finding community resources to meet health needs
- Assist individual
students in understanding health concerns
- Identify possible
health concerns
- Monitor student
immunization requirements
- Monitor communicable
diseases
- Provide emergency care
as needed
Cherrydale Elementary School
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