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Pershing County School District :: Health Servics Coordinator/School Nurse
Forms
Communicable Disorders
Whooping Cough-Pertussis Download
Fifth Disease Download
Lice-Parent Information on Treatment Download
Pink Eye Download
Ringworm Download
Letter to School Board Download
Lice Parent Information Download
Lice-What the school will do and why Download
Lice 101-Myths and realities Download
Lice Policy-Official School Download
Lice Procedure Download

Health Histories
New Student Health History-English Download
New Student Health History-Spanish Download
SPED Developmental-English Download

Medicine at School Forms
Medicine at School Rules Download
NV Laws about Epipen and Inhalers Download
General Medicine at School Permission Download
Asthma Medicine at School Permission Download
Allergy Medicine at School Permission Download

PE-Excuse or Release to Return
Excuse or Release from PE Download

Physical forms
Sports Physical Information-High School Download
Sports Parent Annual Update Form-Interium Health History Download
Sports Physical pg 1-Parent History Form Download
Sports Physical pg 2-Doctor Form Download

Release of Medical Records and Doctor Reports
Release of Medical Records to School Download
Doctor Report-ADA/504 Download
Doctor Report-Health Status Update Download

Sight for Students Forms
Sight for Students-English Download
Vista Para Estudiantes-Espanol Download

PCSD is an affirmative action, equal employment opportunity institution and does not discriminate on the basis of age, sex, color, race, national origin, religion, disability, sexual orientation or gender identity or expression or veteran status in its programs or employment.

Title IX and 504 Officer - Superintendent 273-7819