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Verna Thompson
985-748-5868
School Nurse Services - Forms
Letter of Dissent 2020-21
LETTER OF DISSENT RVOct 20.pdf
117.51 KB
(Last Modified on October 19, 2020)
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Medication Intake Procedures for 2020-2021
Medication_Intake_Procedures_ 20-21 school year .pdf
99.28 KB
(Last Modified on July 27, 2020)
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Permission for Emergency Treatment
permissionforemergencytreatment.pdf
57.55 KB
(Last Modified on July 23, 2018)
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School Entrance & General Health Exam Form/Sports Physical Form
nurse_school entrance health form FINAL.pdf
138.41 KB
(Last Modified on July 23, 2018)
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Physician's Authorization for Special Healthcare
nurses2physiciansauthorizationforspecialhealthcare FINAL.pdf
94.03 KB
(Last Modified on July 23, 2018)
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Medication Order for Louisiana Public Schools
nurses3Medication Order for Louisiana Public Schools FINAL.pdf
83.98 KB
(Last Modified on July 23, 2018)
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Medication & Treatment Administration Plan
nurses4MED TRMNT ADMIN PLAN.pdf
29.39 KB
(Last Modified on July 23, 2018)
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Parent/Guardian Request & Authorization for Medical Administration
Parent Guardian Request and Authorization for Medication Adm .pdf
208.09 KB
(Last Modified on July 23, 2018)
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Health Information Form
nurses6HEALTH INFORMATION FORM FINAL.pdf
142.22 KB
(Last Modified on July 23, 2018)
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Authorization for Release of Confidential Information
nurses7authorization for release of confidential info FINAL.pdf
85.69 KB
(Last Modified on July 23, 2018)
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Medical Intake Information
Medication Intake 2020-2021
TPSS Medication_Intake 2020-2021.pdf
79.64 KB
(Last Modified on July 31, 2020)
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Louisiana School Immunization Entry Requirements
Louisiana_School_Immunization_Entry_Reqs_2019.pdf
160.74 KB
(Last Modified on July 28, 2020)
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Immunization Information 2018-2019
Immunization Information_2018.pdf
190.99 KB
(Last Modified on July 23, 2018)
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