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SCHOOL NURSING SERVICE REFERRAL FORM Professionals version Child/Young Persons NameDOBParents Gamete No. Address GP if knownSchoolClassClass Teacher Parent consent obtained * YES/NO (delete as appropriate)

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How to fill out school nursing service referral

01

To fill out a school nursing service referral, follow these steps:

02

Obtain a school nursing service referral form from your school or educational institution.

03

Fill out your personal information, including your name, date of birth, and contact details.

04

Provide information about your current school and grade level.

05

Indicate the reason for the referral and any specific concerns or health conditions that require attention.

06

Include relevant medical history, allergies, and medications if applicable.

07

If there are any additional documents or reports that support the referral, attach them to the form.

08

Review the completed referral form for accuracy and completeness.

09

Submit the form to the appropriate school authority or nursing service department.

10

Follow up with the school or nursing service to ensure that your referral is processed.

Who needs school nursing service referral?

01

Any student who requires specific nursing services or has health concerns that affect their ability to attend school or participate in academic activities may need a school nursing service referral.

02

This can include students with chronic illnesses, disabilities, mental health conditions, allergies, or those requiring assistance with medication administration or specialized nursing procedures.

03

The need for a school nursing service referral is determined on a case-by-case basis in collaboration with parents/guardians, healthcare providers, school administrators, and the student's individual healthcare plan.

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What is school nursing service referral?

A school nursing service referral is a formal request to access nursing services for students within the school setting, aimed at addressing health needs that may affect their educational experience.

Who is required to file school nursing service referral?

Typically, school administrators, school nurses, or other designated school personnel are required to file school nursing service referrals.

How to fill out school nursing service referral?

To fill out a school nursing service referral, you should provide the student's personal information, describe their health needs, and outline the specific nursing services being requested.

What is the purpose of school nursing service referral?

The purpose of the school nursing service referral is to ensure that students receive appropriate medical attention and support for their health needs in order to facilitate their learning and well-being.

What information must be reported on school nursing service referral?

The referral must include details such as the student's name, date of birth, health condition, required services, and any relevant medical history.

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