School Health Forms - Chesapeake Public Schools - Chesapeake VA

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School Health/Athletic Forms

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School Entrance

School Entrance Health Information Form

Health

Authorization for School to Administer Medication

Physician�s Statement for Students with Special Dietary Needs

Self-Administration of Emergency Medication

Food Allergy Action Plan

Food Allergies - Schools Guidelines

Asthma Plan & Medication

Seasonal, Bird & Pandemic Flu

Athletic

Chesapeake Middle School League Athletic Form [.doc]

Virginia High School League Athletic Form

Helpful Health Websites

FAMIS Medical Insurance Security

Virginia Department of Health

Bright Futures: American Academy of Pediatrics

Handwashing Instructions

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Contact Information

Health Services

School Administration Building
312 Cedar Road
Chesapeake, VA 23322

757.494.7628
757.494.7504 Fax

Supervisor of Health Services:

Barbara Robinson
Phone: 757-494-7628
Email: robinbbu@cps.k12.va.us

Director:

Wayne Martin
Email: martiwbr@cps.k12.va.us

Last modified: Wed July 29 2009 08:21:17 AM