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Hornell City School District

Together, preparing students for their future.

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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)

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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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