Health Services Forms

School Health Record Form

Required by the State of Massachusetts

health_record_form.pdf 99.69 KB (Last Modified on October 2, 2012)

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Release of Confidential Information

release_of_confidential_Information.pdf 10.32 KB (Last Modified on October 2, 2012)

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Physician Medication Order

physician_medication_order.pdf 18.75 KB (Last Modified on October 2, 2012)

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Parent/Guardian Consent for Prescription Medication Administration

parent_consent_meds_administration.pdf 18.81 KB (Last Modified on October 2, 2012)

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OTC Consent Form

Parent/Guardian Consent for
Non-prescription Medication Administration

OTC Consent Form-English.pdf 72.81 KB (Last Modified on May 18, 2022)

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OTC Consent Form-Portuguese

Consentimento de pais/responsáveis para
administração de medicamentos sem receita médica

OTC Consent Form_Portuguese.pdf 80.21 KB (Last Modified on May 18, 2022)

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OTC Consent Form-Spanish

Consentimiento de los padres/tutores para
la administración de medicamentos sin receta

OTC Consent Form-Spanish.pdf 72.91 KB (Last Modified on May 18, 2022)

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Barnstable High School