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School Nurse


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Downloadable Forms From The School Nurse

By Julie Anderson

April 25, 2008

I am Julie Anderson, LPN the school nurse for Minden Public Schools. I am available to take your calls regarding medical concerns for any student enrolled in our schools. This includes our preschool, elementary, middle school, high school, and the Success Center. Please contact me at 308-832-3215 and please leave a message if I am unavailable and I will get back to you as soon as possible.

Below are various medical forms we use in the Minden Public Schools.

Asthma Action Plan(Espanol)

Asthma Action Plan(English)

Asthma Medication Permission Form

Athletic Physical Grades 8 - 12

Current Immunization Requirements (English)

Resumen de las Reglas y Regulaciones Escolares de Vacunas

Non-Prescription Medication Permission Form

Athletics Participation Parental Consent Form

School Physical Form for Kindergarten, 7th grade and Out of State Transfer Students

Prescription Medication Permission Form

Documentation for Chicken Pox Disease or Immunization

Concussion Assessment form A

Concussion Assessment form B

Concussion Assessment form C

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