Highlands School District

School Health Forms

Dental Exam and Physical Exam Notification Letters
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Dental and Physical Notifications.pdf 53.87 KB (Last Modified on March 2, 2017)

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Emergency Information Form
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Emergency Information Form - H651-5 2014.pdf 89.34 KB (Last Modified on August 13, 2014)

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Notes from the School Nurse
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Notes from School Nurse 2013 H608.pdf 40.94 KB (Last Modified on August 13, 2014)

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Medical Information Release Form
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Medical Information Release Form H375.pdf 9.45 KB (Last Modified on August 13, 2014)

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Medication Administration Consent Form
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Medical Consent Prescriptions.pdf 55.24 KB (Last Modified on August 13, 2014)

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Health Services Letter
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Health Services Letter H612 2013.pdf 80.75 KB (Last Modified on August 13, 2014)

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Private Dentist Report of Dental Examination
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H514-02720Private20Dentist.pdf 39.60 KB (Last Modified on August 13, 2014)

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Private Physician Report of Medical Exam
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290562-H511.336PrivatePhysicianreportofphysicalexam.pdf 70.36 KB (Last Modified on August 13, 2014)

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Health Inventory for Elementary Students
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Health Inventory for Elem Students H632 1.pdf 46.66 KB (Last Modified on August 13, 2014)

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Highlands School District • Superintendent: Dr. Michael A. Bjalobok

1500 Pacific Avenue, PO Box 288
Natrona Heights , PA 15065 • Site Map

Highlands School District • Superintendent: Dr. Michael A. Bjalobok

1500 Pacific Avenue, PO Box 288
Natrona Heights , PA 15065 Site Map

Highlands School District • Superintendent: Dr. Michael A. Bjalobok

1500 Pacific Avenue, PO Box 288
Natrona Heights , PA 15065

724-226-2400

724-226-8437