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    • Health Forms

    Health Services

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    • Welcome to the Health Services Department
    • COVID-19 Resources
    • Other Resources
    • Nurse Staff Directory
    • Health Forms
    • Pennridge School District Health and Safety Plan
    • Allergy Action Plan

      Allergy Action Plan

      allergy_action_plan092012.pdf 151.76 KB (Last Modified on July 21, 2020)
      Comments (-1)
    • Asthma Inhaler Self-Administration form

      Asthma Inhaler Self-Administration form

      asthma_inhaler_self-admin_protocol.pdf 243.32 KB (Last Modified on July 22, 2020)
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    • Dental Examination form

      Dental Examination form

      PDE Dental form.pdf 30.61 KB (Last Modified on July 22, 2020)
      Comments (-1)
    • Field Trip Permission form

      Field Trip Permission form

      PermissionSlipforSchoolSponsoredTrip revised 5-23.doc 69.5 KB (Last Modified on June 2, 2023)
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    • Life Threatening Health Conditions form

      Life Threatening Health Conditions form

      Life Threatening Health Condition Form.pdf 63.35 KB (Last Modified on July 22, 2020)
      Comments (-1)
    • Medication Dispensing form

      Medication Dispensing form

      medication_dispensing_form.pdf 64.39 KB (Last Modified on July 22, 2020)
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    • Parent Medication Letter

      Parent Medication Letter

      Medication Letter to Parents092018.pdf 164.78 KB (Last Modified on July 22, 2020)
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    • Physical Exam form

      Physical Exam form

      PHYSICAL EXAM form updated.pdf 266.25 KB (Last Modified on February 16, 2022)
      Comments (-1)
    • Seizure Action Plan

      Seizure Action Plan

      SeizureActionPlan_final.pdf 49.46 KB (Last Modified on July 22, 2020)
      Comments (-1)
    • Vaccination Requirements

      Vaccination Requirements

      Vaccination Requirements.pdf 233.88 KB (Last Modified on July 22, 2020)
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    Pennridge School District

    1200 N. 5th Street / Perkasie, PA 18944

    P (215) 257-5011

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