USD 322

Student Health Page

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Alicia VanDonge - USD 322 Registered Nurse

Office Hours 7:30am - 11:30 am (Duing School Days)

Phone 785.889.4018 Fax 785.889.4944
Email nurse@usd322.org

Annual Forms for the School Nurse

Health History Form

School Physical (general or sports)

Immunization Records (if not on Webiz)

Hearing-Vision-Dental Screening Results (if completed outside of school)

Medication Forms (this includes both over the counter and prescription)

Emergency Action Plans (as applicable)

Student Health Forms

Annual Health History Form
(click here)

General Student Physical Form
(click here)

KSHSAA Sports Physical Form
(click here)

Vaccination Religious Exemption Form
(click here)

Vaccination Medical Exemption Form
(click here)

Medication Forms

Grade School
Permission for
self medication administration
(click here)

Grade School
Permission for staff medication administration
(click here)

High School
Permission for self medication administration
(click here)

High School
Permission for staff medication administration
(click here)

Emergency Action Plans

Asthma Action Plan
for Home & School
(click here)

Allergy & Anaphylaxis
Emergency Action Plan
(click here)

Seizure Action Plan

(click here)

Medical Management of
Diabetes in School
(click here)

Diabetes - Hyperglycemia
High Blood Sugar
(click here)

Diabetes - Hypoglycemia
Low Blood Sugar
(click here)