Important Forms
Immunization Requirements:
IMMUNIZATION RECORDS
Medication Authorization:
MEDICATION AUTHORIZATION FORM
Action Plans:
ALLERGY ACTION PLAN
ASTHMA ACTION PLAN
BLEEDING DISORDER ACTION PLAN
DIABETES ACTION PLAN
GASTROSTOMY ACTION PLAN
HYPOGLYCEMIA ACTION PLAN
SEIZURE QUESTIONNAIRE
SEIZURE ACTION PLAN
Other Forms:
STUDENT HEALTH HISTORY FORM
HEAD LICE
TREATMENT FOR HEAD LICE
Health Screening Schedule:
- Vision Screenings - Kindergarten (they do not have a comprehensive eye exam completed); 1st, 3rd, and 6th grades (near, far, and binocularity)
- Hearing Screenings - 1st, 3rd, and 5th grades
- Dental Screenings - PK-4th grade; offered at Back to School Orientations for 5th-12th grade (provided by Cape County Health Department)
Jackson R-2 School Nurses: