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Chelmsford Public Schools

Perseverance, Respect, Integrity, Dedication, Empathy

Health Forms

CE & K-4 Health Information, Contacts and Consent Form rev 1.2015

CE_and__Gr_K-4th_Emergency__Medical__Information__rev_3.2015 v17 protected.pdf 863.93 KB (Last Modified on November 19, 2015)

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Gr. 5-12 Emergency Medical Information rev 1.2015pdf

Gr._5-12_Emergency_Medical_Information_rev_1.2015 pdf.pdf 457.94 KB (Last Modified on July 1, 2015)

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Allergy Medication Plan of Care and Consent 6.21.13.pdf

Allergy Medication Plan of Care and Consent 6.21.13.pdf 136.89 KB (Last Modified on July 25, 2013)

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Respiratory Medication Plan of Care and Consent 5-9-12.pdf

Respiratory Medication Plan of Care and Consent 5-9-12.pdf 158.52 KB (Last Modified on July 25, 2013)

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Medication Orders and Consent ( oral/topical meds) 6.21.13.pdf

Medication Orders and Consent 6.21.13 .pdf 119.41 KB (Last Modified on August 19, 2013)

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Seizure Medication Plan and Consents 6.21.13doc.pdf

Seizure Medication Plan and Consents 6.21.13doc.pdf 166.18 KB (Last Modified on July 25, 2013)

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Diabetic School Plan of Care and Consent.pdf

Diabetic School Plan of Care and Consent.pdf 77.43 KB (Last Modified on July 25, 2013)

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Non-School Hours Health Measures

Non-School Hours Health Directive 4-15-16.doc 34.00 KB (Last Modified on April 15, 2016)

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Out of State/ Overnight Field Trip Consent

Field Trip Out of StateOvernight Consent 11-2-15.doc 64.50 KB (Last Modified on November 4, 2015)

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Religious Exemption Sign Off.pdf

Religious Exemption Sign Off.pdf 38.58 KB (Last Modified on July 25, 2013)

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MA School Health Exam.pdf

MA School Health Exam.pdf 966.47 KB (Last Modified on August 8, 2013)

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Re-Entry Safety Form

Re Entrry form.doc 33.00 KB (Last Modified on July 15, 2015)

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