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WORTHINGTON SCHOOLS

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    • Over the Counter Medication Form

      Over the Counter Medication Form

      OTC Self-Carry Medication Form 11-2023.pdf 428.76 KB (Last Modified on November 28, 2023)
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      Immunization Record.pdf 464.95 KB (Last Modified on May 10, 2022)
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      12th Grade Meningococcal Form

      12th Grade Meningococcal Form.pdf 159.2 KB (Last Modified on November 4, 2020)
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    • 7th Grade Tdap and Meningococcal Form

      7th Grade Tdap and Meningococcal Form

      7th_Grade_Tdap-Meningococcal_Form_2016.pdf 17.65 KB (Last Modified on December 14, 2016)
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    • Anaphylaxis Emergency Care Plan

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      Anaphylaxis Emergency Care Plan.pdf 439.98 KB (Last Modified on December 18, 2019)
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      Asthma Action Plan.pdf 95.19 KB (Last Modified on December 18, 2019)
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    • Diabetes Instructions for Care at School

      Diabetes Instructions for Care at School

      Diabetes-Instructions for Care Form.pdf 69.15 KB (Last Modified on May 3, 2016)
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      Health History Form.pdf 83.26 KB (Last Modified on February 3, 2021)
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      Physician Report.pdf 186.73 KB (Last Modified on December 18, 2019)
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    • Preschool Immunization-Communicable Disease Form 2016

      Preschool Immunization-Communicable Disease Form 2016

      Preschool Immunization-Communicable Disease 2016.pdf 13.53 KB (Last Modified on February 25, 2016)
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    • Preschool Medical Diagnostic Evaluation Form

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      Preschool Medical Diagnostic Evaluation Form.PDF 682.07 KB (Last Modified on April 2, 2019)
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    • Prescription Medication Authorization Form

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      Prescription Medication Authorization Form.pdf 172.19 KB (Last Modified on March 8, 2021)
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    • Seizure Action Plan

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      seizure_action_plan.pdf 265.93 KB (Last Modified on April 2, 2012)
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    • Seizure Parent Questionnaire

      Seizure Parent Questionnaire

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      seizure_parent_questionnaire.pdf 280.11 KB (Last Modified on April 2, 2012)
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    • Self Carrry Epinephrine Auto-Injector Form

      Self Carrry Epinephrine Auto-Injector Form

      Self Carry Epipen Form.pdf 18.74 KB (Last Modified on March 8, 2021)
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    • Self-Carry Inhaler Form

      Self-Carry Inhaler Form

      Self Carry Inhaler Form.pdf 68.92 KB (Last Modified on December 18, 2019)
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