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Nurse's Corner (Nurse Ellen) 793-6130 Ext. 5313 

Medical Forms Available

Forms due October 1


Dental Form

Medication Consent Form

Peanut Allergies - Permission to sit at regular cafeteria table

Health Appraisal Form


The following is the state mandated screening guide

for students in grades 2 - 5

Vision - Grades 2, 3, 5

Hearing - Grades 3, 5

Scoliosis - Grade 5

Physical Exam Reports - Grades 2, 4

Dental Report - Grades 2, 4


Vision and/or Hearing tests may be administered to students in other grades at the request of the parent or guardian, or the teacher. Parents/Guardians will be notified promptly if there are any problems detected in the screenings. Please contact me at 793-6130, ext. 5313, if you have any questions or concerns.