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Nurse
Please complete an Emergency form for each child for the beginning of the 2011-2012 school year.
Information from the Nurse's Office
6th Grade Immunization Letters
Letters are being mailed home for all 6th grade students who will need immunizations before starting 7th grade.  If you feel your child has already received these vaccines, please check with your clinic. It is possible that we do not have the current information at school.  These immunizations are required before the first day of school in August.  Please plan ahead and send the information to the nurse's office as soon as your child recieves the immunizations. If you have questions, please contact the nurse's office. Thank you!
Health Forms
 Asthma Action Plan.pdf
To be completed by a physician for ALL students with asthma.
 Elem Sheet.pdf
Elementary Release of Information Sheet
 Emergency Form11-12.pdf
Emergency Contact form
 Food Allergy Action Plan.pdf
To be completed for all students with severe allergic reactions. Can be used for food or other allergens. Must be signed by physcian.
 Health History.pdf
To be completed for all new students and updated as needed for current students.
 Lactose Intolerance Form.pdf
To be completed for students with lactose intolerance who only need a lactose reduced milk provided with meals. Can be signed by parent.
 MIICconsent.pdf
Consent allows JCC nursing staff to enter immunizations into the Minnesota immunization database. Database can only be accessed by those authorized by state law.
 Special Diet Statement with Disability.pdf
For students with food allergies, intolerances, and medical conditions affecting diet. Print Special Diet Statement with AND without Disability and take to your healthcare provider. Must be completed by healthcare provider.
 Special Diet Statement Without Disability.pdf
For students with food allergies, intolerances, and medical conditions affecting diet. Print Special Diet Statement with AND without Disability and take to your healthcare provider. Must be completed by healthcare provider.
Contacts
+ Mitchell, Tracy
+ Schlager, Angela
Click on name to see details.

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