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SCHOOLED SUPPLEMENTAL HEALTH SERVICES CONSENT FORM
Dayton Public Schools (DPS) partners with many community agencies to offer Schooled Supplemental Health Services. This one form replaces many of
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How to fill out school-based supplemental health services

How to fill out school-based supplemental health services
01
To fill out school-based supplemental health services, follow these steps:
02
Obtain the required forms from the school or healthcare provider.
03
Read and understand the instructions provided with the forms.
04
Provide all necessary personal information, such as name, date of birth, and contact details.
05
Answer any questions about the student's medical history and current health condition.
06
Provide details of any existing medical treatments or medications the student is undergoing.
07
Specify the type of health services needed, such as medication administration, physical therapy, or nursing care.
08
Attach any supporting medical documents or reports, if required.
09
Review the completed forms for accuracy and completeness.
10
Submit the filled-out forms to the designated school or healthcare personnel.
11
Keep a copy of the completed forms for your records.
Who needs school-based supplemental health services?
01
School-based supplemental health services are designed for students who require additional healthcare support while attending school.
02
Students with chronic illnesses or disabilities that may require ongoing medical attention are often the ones who benefit from these services.
03
This includes students with conditions such as asthma, diabetes, epilepsy, allergies, physical disabilities, or mental health disorders.
04
Additionally, students who require assistance with specific healthcare tasks, such as medication administration or medical monitoring, may also need school-based supplemental health services.
05
The specific criteria and eligibility for receiving these services may vary depending on the school district or healthcare provider.
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What is school-based supplemental health services?
School-based supplemental health services are additional health services provided to students within a school setting to support their well-being and academic success.
Who is required to file school-based supplemental health services?
School administrators and health professionals are typically required to file school-based supplemental health services.
How to fill out school-based supplemental health services?
School administrators and health professionals can fill out school-based supplemental health services forms online or submit paper forms to the relevant authorities.
What is the purpose of school-based supplemental health services?
The purpose of school-based supplemental health services is to ensure that students have access to necessary health services and support to thrive in their learning environment.
What information must be reported on school-based supplemental health services?
Information such as student demographics, health conditions, medications, treatments, and healthcare providers must be reported on school-based supplemental health services forms.
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