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I am wanting to make parents aware and to remind their students to wash hands frequently, . Strep throat is a sore throat caused by Streptococcus bacteria that are passed around through nose and mouth droplets. Sample Permission to Share Protected Health Information(HIPAA) (NYSCSH 8/12)Allows the parent to designate health care providers who may share information with designated school staff. If not treated or not treated long enough, your child may continue to spread the infection. When to Keep a Child Home - Instructions to Parents/Guardians(NYSCSH 12/19)Sample letter to share district guidelines. It provides a referral plan by the private provider containing information on current symptoms and recommendations for RTL and RTP. c# To prepare for a healthy and safe 2020-21 school year, please provide updated health and medication information on your child before the first day of school in September. Sample Recommended Medical Certificate of Limitations Form (NYSED 2022)May be used to document private provider recommendations for PE accommodation. It is very important to read and follow the label directions carefully and specifically. Immunization Requirements for School Attendance Medical Exemption Statement for Children 0-18 years of Age FormThis form must be completed annually. Additional permission from the provider and parent for Independent Medication Carry and Use must also be completed for that to occur. OLOM School Medication Form completed by parent and signed by your pediatrician. NYS & NYC Screening & Health Examination Requirements Chart (NYSCSH 7/18), Chronological Age/Grade Chart (NYSCSH 6/21). (111) 789-3456. Diastat/Seizure Preparedness Plan Links to Diastat website. Phone: 206 252-3887. During this time of remote learning one of the most important things you can do is to make sure your students immunizations are up to date. Our fax number is 770-781-2254. All action plans food/insect allergies, asthma, diabetes, seizures, etc must be signed by a Georgia physician. These sample resources may be modified for your use consistent with NYSED, local district policy, and school medical director guidance. Your involvement makes a difference. It should be reviewed and approved by the school medical director prior to use. HGw8npB} r\"4p4]i),^/pbDqtW4X`~Gr"2SA?P/": & Sample letters to school community | Beth Harpster, BS, BSN, RN Communicable Disease | Illness | Injury Notifications, General Information on Illness and School Attendance, Sample Health Office Visit for Illness | Injury Notification, Communicable Disease Information & Factsheets, COVID-19 Sample Consents | Non-Patient Specific Orders, Sample Non-Patient Specific Order for BinaxNow COVID-19 Testing, Sample School COVID-19 Testing Consent Form and Instructions, Disease Specific ECP | IHP | 504 |Diabetes Addendum | Flow Sheets, Asthma Care Plans | Asthma Action Plans (AAP) | Sample Letters, Diabetes Medical Management Plans (DMMPs) | DMMP Addendum, Diabetes Hypoglycemia | Hyperglycemia Plans, Generic Sample Care Plans and Other Emergency Documentation for Students and Staff, Seizure Sample Care Plans | 504 Plans | Interview Questionnaire for Seizure History, Health Examination & Dental Forms | Parent Letters | Notifications, School Health Examination Form and Instructions for an EHR Compatible Form, School Health Examination Form Sample Resources, Screening & Health Exam Requirements Charts | Determination for Ungraded Students, Dental Certificate | Letter to Parents/Guardians Regarding Dental Exams, School Medical Director Delegation Statement, Health Office: Daily Visit Logs | Cumulative Health Record | Summary Records, Implementation of Epinephrine Auto-Injector (EAI) Programs Sample Forms, Immunization Sample Letter & Forms for the 2022-2023 School Year, Sample Letter for Administrators/Principals to Inform Parents/Guardians of Exclusion & 310 Appeals Information, Medical Exemption Forms and Sample Letters, Medication Forms | Letters | Notifications, Sample Administration / Use Tracking Forms, Sample Administration Authorization / Permission Forms, Determining Who Can Administer Medication and Student's Capability, Parent/Guardian Medication Communications & Notification, Receipt Forms for Medications / Expiration of Medication Form / Documentation of Medication Errors, Training & Self-Determination Forms and Checklists, Responsibility Checklists | End of School Year Packet, School Nurse Responsibilities | Checklists | Overview of Tasks, School Health Office Data Collection | Reporting Tools, Health Data Documentation & Tracking Forms, Screening Charts | Forms | Letters | Notifications.