HF-001 - Authorization of Specialized Health Care Procedures HF-025-1 - School Children Needing Follow Up - Hearing
HF-002 - Emergency Care Plan HF-025-2 - School Children Needing Follow Up - Vision
HF-003 - Hearing & Vision Screening HF-027 - Hearing Screening Results - Passed
HF-005 - Report of Hearing Exam - Clinical & Medical HF-028 - Vision Screening Results - Passed
HF-006 - Health History HF-033 - Permission to Administer Medication at School
HF-006S - Health History (Spanish) HF-033S - Permission to Administer Medication at School (Spanish)
HF-007 - Documentation of Instruction from The Registered Nurse to Unlicensed School Personnel HF-035 - Vision Screening Results - Failed/Referral
HF-007a - Documentation of Instruction from RN to LPN HF-036 - Hearing Screening Results - Failed/Referral
HF-009 - Permission to Self Medicate HF-037 - Long-Term Medication Log
HF-011 - Hearing Screening - Tympanogram HF-039 - Health Assessment for Children & Youth
HF-012 - Student Emergency Information and Consent Card HF-040 - Diabetes Information from Parent Request
HF-013 - Health Fact Brochure HF-041 - Diabetes Emergency Action Plan
HF-014 - Near & Far Vision Screening Results - Passed HF-042 - Diabetes Individual Health Care Plan
HF-015 - 90 Day Health Assessment Waiver HF-043 - Permission to Self Medicate OTC
  HF-044 - Permission to Self Medicate RX
HF-018 - Release to Carry Inhaler HF-045 - Release to Carry EpiPen
HF-019 - Screening Notification  Student Accident Claim Form
HF-021 - Report of Vision Screening for Referral to Ophthalmologist or Optometrist District Accident Insurance Letter
HF-023 - School Health Room Incident Report  
HF-024 - Daily Log Sheet  




Shawnee Heights USD 450, 4401 SE Shawnee Heights Road, Tecumseh, Kansas, does not discriminate on the basis of sex, religion, color, national origin or ancestry, handicap/disability or age. Persons having inquiries concerning Shawnee Heights USD 450 compliance with Title VI, Title IX, Section 504, Americans With Disabilities Act, and the Age Discrimination Act may contact the Human Resource Director, 4401 SE Shawnee Heights Road, Tecumseh, Kansas 66542, (785) 379-5800. Pre-employment drug testing/criminal record check/child abuse checks are required.
Equal Opportunity Employer

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