Sample letters to school community | Beth Harpster, BS, BSN, RN Last Modified on November 9, 2022. It is very common in children. Asthma Action Plan: Parent Letter Date: Dear Parent/Guardian of: School: Room Grade: Good management of your child's asthma is important to his or her success at school. This lists the steps to go through in the determination of supervised students. %PDF-1.5 % If your child must have medication of any type, including over -the -counter drugs, given during school hours, you have the following choices: 1) You may come to school and give the medication to your child at the appropriate time(s). Sample Recommended NYSED Interval Health History for Athletics (Fillable PDF NYSED)This form now includes questions related to the Dominic Murray Sudden Cardiac Arrest Act effective 7/1/22 and COVID-19. It can be found at https://www.ccsoh.us/Page/1215. Please review the following and let us know if you have any questions. Receipt of Medication Delivered to School (NYSCSH 8/2012)Documents receipt of initial and subsequent medication delivery from parents. You and your family excelled through another school year. School health services contact information. endobj Thank you in advance for your cooperation in helping us maintain a safe, healthy environment for all of our students. Athletes Health Issues Sample Fillable Form, Spanish Sample Recommended NYSED Interval Health History for Athletics, Sample Parent/Guardian Letter for Sudden Cardiac Arrest (SCA) Prevention, Sample Recommended Medical Certificate of Limitations Form, SampleAthlete with Special Needs Supplemental History Form, When to Keep a Child Home - Instructions to Parents/Guardians, Conjunctivitis - Letter to Parents/Guardians, Head Lice Alert Letter For Parents/Guardians, NYSED Guidelines for Concussion Management In Schools, Sample School Recommendations Following Concussion, Sample Acute Concussion Care Plan and Parent Information Sheet, ACE (Acute Concussion Evaluation) Care Plan, Sample COVID- 19 Exposure Notification Form, Your Child Was Seen In The Health Office With Symptoms of COVID-19, NYSCSH Non-Patient Specific Order Checklist based on NYS Office of Professions Information Page, Sample Spanish School COVID Testing Consent Form, Sample School COVID Testing Consent Form Instructions, Sample Emergency Care Plan for Unlicensed School Personnel: ASTHMA, Sample Letter to Families about Metered Dose Inhalers, Spacers, and Nebulizers, Sample Provider and Parent Guardian Permission for the use of School Provided Spacer/Valved Holding Chamber, NYSDOH Diabetes in Children: A resource guide for families and schools, Helping the Student with Diabetes Succeed, National Institute of Diabetes & Digestive & Kidney Diseases (NIH) Tools, DMMP Addendum: Role of Parents/Guardians in Adjustment of Insulin Dose, Math CalculationCheckerWorksheet for Insulin Deviation, Hypo and Hyperglycemia Chart for School Staff, Glucagon Training Documentation Form for School Personnel, NYSCSH e-Learning & Learning Management System (LMS), Sample Generic Emergency Care Plan for Unlicensed School Personnel, Sample Students With Special Health Care Needs Record, Sample Emergency Care Flow Sheet for Staff, Sample Faculty/Staff Emergency Contact Information, Parent Interview Questionnaire for Seizure History, Sample Permission to Share Protected Health Information(HIPAA), Required NYS School Health Examination Form (PDF), Required NYS School Health Examination Form (Fillable PDF), Instructions for Completion of the New York State School Health Examination EHR Compatible Form, Instructions for School Nurses and School Medical Directors Related to Completion of the Required Health Examination Form, Sample Parent Notification/Request for Mandated Health Appraisal, RequiredNYS School Health Examination Form FAQ's, Sample Recommended Form - Medical Certificate of Limitations, NYS & NYC Screening & Health Examination Requirements Chart, Letter to Parents Regarding Health and Dental Examination Requirements, Sample Individual Student Health Office Visit Record, Sample Parent Letter - Animals in the Classroom, Sample Permission Form - Animals in the Classroom, District Epi Notification to Parents/Guardians, Epinephrine District Staff Training Summary, Sample Procedure for Unlicensed School Staff Responding to Severe Allergic Reactions, Sample Letter to Parents About Cold Weather Precautions, Immunization Request Letter to Parents/Guardians of Students in PreK-12, Sample Exclusion Letter for Principals to Send to Parent/Guardian.
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