- Effingham County Schools
- Forms
General Forms
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Annual Student Health Information
Every student should have an updated and completed Student Health Information form on file with the school nurse EACH year. -
Información Médica Anual Del Estudiante
Cada estudiante debe tener un formulario de información de salud del estudiante actualizado y completado en el archivo de la enfermera de la escuela CADA año.
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Permission to Administer Medicine
Complete this form and bring with your student's medication to the School Nurse or designated staff member. Reminder: students may not transport medication to school. -
Autorización Para Administrar Medicamentos
Rellene este formulario y llévelo con la medicación de su estudiante a la enfermera de la escuela o al miembro del personal designado. Recordatorio: los estudiantes no pueden transportar medicamentos a la escuela.
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Authorization to Carry a Prescription
Have your physician or provider complete this form to allow your student to have an epi pen, inhaler, or diabetic supplies on their person.
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Medical Policy/Parent Letter
The Health Services letter details and summarizes the health policies for Effingham County Schools. You can learn more about our department and the services it offers. -
Religious Exemption Form for Immunizations
Required documentation for immunization waiver. Must be notarized.
Action Plans
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Anaphylaxis Action Plan
For life threatening allergic reaction; accompanies an epinephrine injection prescription (Epi Pen, Epi Pen Jr, AuviQ, etc). Must be completed and signed by your child's physician or provider.
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Asthma Action Plan
For the chronic condition of asthma; accompanies an emergency inhaler (albuterol, etc). Must be completed and signed by your child's physician or provider.
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Diabetes Action Plan
Required for diabetic students. Completed by your child's physician or provider. Gives guidance on the management of the diabetic student while in school.
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Food Allergy Action Plan
For students with allergies to food. May accompany an anaphylaxis action plan as well. Completed by your child's physician or medical provider.
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Seizure Action Plan
For students with seizures; accompanies emergency medications kept in the clinic. Completed by your child's physician or medical provider.