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Alachua County Public Schools

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Health Services

Annual Health Services Notification and Consent - HTH-2223-001

HTH-2223-001 - Annual Health Services Notification and Consent.pdf 238.66 KB (Last Modified on June 21, 2023)

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Annual Health Services Notification and Consent - Español - HTH-2223-001

HTH-2223-001 - Annual Health Services Notification and Consent--Spanish.pdf 229.46 KB (Last Modified on June 21, 2023)

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Authorization for Medical Marijuana - Low THC Cannabis - HTH-920-001.pdf

HTH-920-001 - Authorization for Medical Marijuana - Low THC Cannibis.pdf 225.02 KB (Last Modified on August 6, 2019)

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COVID-19 Symptoms Tracking Log for School Clinic - HTH-021-017.pdf

HTH-021-017 - COVID-19 Symptoms Tracking Log.pdf 211.81 KB (Last Modified on August 17, 2020)

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COVID-19 Testing Consent Form / Department of Health Form

DOH Alachua County COVID-19 Consent Form 8-31-21.pdf 259.22 KB (Last Modified on August 18, 2021)

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Field Trip Health Condition List - HTH-021-001

HTH-021-001 - Field Trip Health Condition List.pdf 165.1 KB (Last Modified on July 21, 2020)

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Head Lice Classroom Exposure Parent Letter - HTH-718-002.pdf

HTH-718-002---Head-Lice-Classroom-Exposure-Parent-Letter.pdf 239.074 KB (Last Modified on March 16, 2018)

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Head Lice Parent Letter - HTH-718-005.pdf

HTH-718-005---Lice-Parent-Letter.pdf 236.709 KB (Last Modified on March 16, 2018)

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Health Condition Parent Letter - HTH-718-007.pdf

HTH-718-007---Health-Condtiion-Parent-Letter.pdf 187.951 KB (Last Modified on March 16, 2018)

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Health Condition, Allergy and Medication-Treatments - HTH-718-006.pdf

HTH-718-006---Health-Condition-Allergy-and-Medication-Treatments.pdf 130.197 KB (Last Modified on March 16, 2018)

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Health Screening Result Form - HTH-2223-004.pdf

HTH-2223-004 - Health Screening Result Form.pdf 261.42 KB (Last Modified on September 12, 2022)

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Illness-Parent Letter - HTH-718-004.pdf

HTH-718-004 - Illness-Parent Letter.pdf 217.73 KB (Last Modified on September 23, 2020)

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Immunization Physical Compliance Notice - HTH-819-019.pdf

HTH-819-019 - Immunization Physical Compliance Notice.pdf 183.21 KB (Last Modified on August 26, 2020)

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Medication-Treatment Authorization Form--HTH-2223-002.pdf

HTH-2223-002 - Medication-Treatment Authorization Form.pdf 198.47 KB (Last Modified on July 26, 2022)

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Medication-Treatment Authorization Form - Español - HTH-2223-002

HTH-2223-002 - Medication Treatment Authorization Form - Spanish.pdf 188.2 KB (Last Modified on June 21, 2023)

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Optometrist/Physician's Report for Vision - HTH-718-009.pdf

HTH-718-009---Optometrist-Physicians-Report-for-Vision.pdf 127.518 KB (Last Modified on March 16, 2018)

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Physician Letter for Masks Exemption - Employee - HTH-122-011

HTH-021-011 - Physician Letter for Masks Exemption - Employee.pdf 201.92 KB (Last Modified on August 26, 2021)

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Physician's Report for Hearing - HTH-718-010.pdf

HTH-718-010---Physicians-Report-for-Hearing.pdf 176.103 KB (Last Modified on March 16, 2018)

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Physician's Report for Scoliosis - HTH-718-011.pdf

HTH-718-011---Physicians-Report-for-Scoliosis.pdf 174.764 KB (Last Modified on March 16, 2018)

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Referral to Physician _______ - HTH-718-012.pdf

HTH-718-012 - Referral to.pdf 105.65 KB (Last Modified on May 7, 2018)

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Screening Tracking Form - HTH-2223-005

HTH-2223-005 - Screening Tracking Form.pdf 236.5 KB (Last Modified on October 24, 2022)

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Self Carry-Administration of Medication Authorization--HTH-2223-003.pdf

HTH-2223-003 - Self Carry-Administration of Medication Authorization.pdf 164.08 KB (Last Modified on June 8, 2023)

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Self-Carry-Administration of Medication Authorization - Español - HTH-2223-003

HTH-2223-003 -Self-Carry Administration of Medication Authorization - Spanish.pdf 114.42 KB (Last Modified on June 21, 2023)

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Student Mask Opt-Out Medical Exemption Form - HTH-021-018.pdf

HTH-021-018 - Physician Letter for Masks Exemption.pdf 176.82 KB (Last Modified on August 6, 2021)

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Substitute Medication and Treatment Log - HTH-819-020.pdf

HTH-819-020 - Substitute Medication and Treatment Log.pdf 368.91 KB (Last Modified on January 15, 2019)

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Emergency Care Plans

Emergency Care Plan Booklet

Emergency Care Plan Booklet 2020.pdf 210.17 KB (Last Modified on August 14, 2020)

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Student Health Condition List

HTH-021-002 - Student Health Condition List.pdf 168.88 KB (Last Modified on August 14, 2020)

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Addisonian Crisis Emergency Care Plan

Addisonian Crisis Emergency Care Plan 2020.pdf 153.34 KB (Last Modified on August 4, 2020)

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Anaphylactic Emergency Care Plan

Anaphylactic - Allergy Emergency Plan 2020.pdf 160.73 KB (Last Modified on August 4, 2020)

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Asthma Emergency Care Plan

Asthma Emergency Care Plan 2020.pdf 157.82 KB (Last Modified on August 4, 2020)

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Autonomic Dysreflexia Episode Emergency Care Plan

Autonomic Dysreflexia Episode Emergency Care Plan 2020.pdf 160.88 KB (Last Modified on August 4, 2020)

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Cardiac Emergency Care Plan

Cardiac Emergency Care Plan 2020.pdf 154.87 KB (Last Modified on August 4, 2020)

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Choking Emergency Care Plan

Choking Emergency Care Plan 2020.pdf 153.86 KB (Last Modified on August 4, 2020)

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Cystic Fibrosis Emergency Care Plan

Cystic Fibrosis Emergency Care Plan 2020.pdf 157.51 KB (Last Modified on August 4, 2020)

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Diabetes Emergency Care Plan

Diabetes Emergency Care Plan 2020.pdf 175.11 KB (Last Modified on August 4, 2020)

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Glycogen Storage Disease Emergency Care Plan

Glycogen Storage Disease Emergency Care Plan.pdf 156.61 KB (Last Modified on August 4, 2020)

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Hemophilia-Bleeding Disorder Emergency Care Plan

Hemophilia-Bleeding Disorder Emergency Care Plan 2020.pdf 159.16 KB (Last Modified on August 4, 2020)

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Increased Intracranial Pressure-Ventriculoperitoneal Shunt Emergency Care Plan

Increased Itracranial Pressure-Ventriculoperitoneal Shunt Emergency Care Plan 2020.pdf 159.36 KB (Last Modified on August 4, 2020)

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Myasthenia Gravis Emergency Care Plan

Myasthenia Gravis Emergency Care Plan 2020.pdf 158.47 KB (Last Modified on August 4, 2020)

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Postural Orthostatic Tachycardia Syndrome (POTS)

Postural Orthostatic Tachycardia Syndrome Emergency Care Plan.pdf 159.97 KB (Last Modified on August 4, 2020)

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Pulmonary Hypertension Emergency Care Plan

Pulmonary Hypertension Emergency Care Plan 2020.pdf 156.92 KB (Last Modified on August 4, 2020)

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Respiratory Failure Emergency Care Plan

Respiratory Failure Emergency Care Plan 2020.pdf 176.29 KB (Last Modified on August 4, 2020)

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Seizure Emergency Care Plan

Seizure Emergency Care Plan 2020.pdf 167.87 KB (Last Modified on August 4, 2020)

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Sickle Cell Emergency Care Plan

Sickle Cell Crisis Emergency Care Plan 2020.pdf 155.54 KB (Last Modified on August 4, 2020)

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Vagus Nerve Stimulation Emergency Care Plan

Vagus Nerve Stimulation Emergency Care Plan 2020.pdf 157.04 KB (Last Modified on August 4, 2020)

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