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Request for Health Information for School Nurse

I am sending this letter to gather information about students who have health needs. Please fill out the Request for Health Information if your student has medical needs that could affect learning or might require emergency care during the school day. A health care provider’s written diagnosis is required in order for an Individualized Healthcare Plan to be developed by the school nurse. Also, please let your school nurse know if your child participates in extracurricular school activities.

Letter From Nurse

Request for Health Information Form