Guest
|
Login
{1}
##LOC[OK]##
Skip Sidebar Navigation
School Based Health Clinic
When is a child too sick for school?
Physical and Immunization Information
Nurse Contact Information
Nurse Forms
Last item for navigation
Torrington Middle School
»
Departments
»
Nurses' Office
»
Nurse Forms
Nurse Forms
CT Blue Form (Physical Assessment):
Physical Exam Link
Medication Authorization form:
* one medication per form
* parent/guardian and doctor must sign form
*
NO
medications can be given in school without a completed medication authorization form
*children can ONLY self carry inhalers and Epi Pens
Medication Authorization Form.doc.pdf
Medication Authorization--Spanish.docx.pdf
Care Plans:
1. FARE Food Allergy English and Spanish.pdf
2. Asthma English and Spanish 0-11 yrs.pdf
3. Asthma English and Spanish 12 yrs +.pdf
4.
Seizure Care Plan--English
5.
Seizure Care Plan--Spanish
* Nurse can make personalized care plans with student photos as well
HIPAA:
1.
HIPAA Blank form for TMS
2.
HIPAA Blank form for TMS - Spanish
3.
HIPAA Blank form for CCMC students.pd
f