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Titusville Intermediate 128 Meadow Lane Poughkeepsie, NY 12603Phone 8454864470 Fax 8453504143Medication Order Form A provider order and parent/guardian permission are required for all medications
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How to fill out school health services request

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How to fill out school health services request

01
Obtain the school health services request form from the school office or website.
02
Fill out all the required personal information including name, contact information, and student ID.
03
Specify the type of health services needed (e.g. medication administration, first aid, special accommodations).
04
Provide detailed information about the health issue or reason for the request.
05
Include any relevant medical documentation or notes from a healthcare provider if necessary.
06
Submit the completed form to the school nurse or designated staff member.

Who needs school health services request?

01
Students who require medical assistance during school hours.
02
Students with chronic health conditions that may require monitoring or special accommodations.
03
Students who need to take medication at school under the supervision of trained staff.
04
Students who have been injured or are in need of first aid during school activities.
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School health services request is a formal request made by a school or educational institution to provide health services to students.
School administrators or personnel responsible for student health services are required to file school health services request.
School health services request can be filled out online or in person by providing detailed information about the health services needed for students.
The purpose of school health services request is to ensure that students have access to necessary health services while at school to support their well-being and academic success.
Information such as student's name, grade, specific health needs, type of services required, and any relevant medical history must be reported on school health services request.
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