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Hornell City School District
Nurse's Office Forms
Nurse's Office Forms
Nurse's Office Forms
Phone extensions for the nurse offices are as follows:
North Hornell- 324- 0014 ext.- 1747
Intermediate - 324-1304 ext- 1104
High School - 324-1303 ext- 1584 & 1587
Authorization for Use or Disclosure of Protected Health Information
FormPermissionDiscloseProHealthInfo.pdf
116.2 KB
(Last Modified on April 3, 2020)
Comments (-1)
BMI Opt Out Form
BMI Opt Out 2022.docx.pdf
230.09 KB
(Last Modified on March 24, 2022)
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Health Examination Form
Health Examination Form.pdf
146.74 KB
(Last Modified on August 17, 2020)
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Health Services Guidelines
Health Service Guidelines 2022.docx.pdf
256.05 KB
(Last Modified on March 24, 2022)
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Medical Information & Emergency Form
Medical Information 20-21.pdf
125.54 KB
(Last Modified on January 22, 2021)
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Permission to Administer Medication
Medication in School.docx.pdf
236.42 KB
(Last Modified on March 24, 2022)
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