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Broadmoor 3-5 Elem: Nurses' Dose

School Health - BES

Forms Required for ALL Students
Physical Health Form  

Immunization Form - Kansas Certificate of Immunizations 

(KCI)

KCI must be filled out by physician or health department. Must be up-to-date on immunizations prior to entering school.
School Immunization Requirements for 2009-2010 State requirements for 2009-2010 school year including revisions.
Over-the-Counter Medication Form Must be filled out by parent for child to receive OTC medication at school.
Health Update Form Gives nurse health history of your child
Forms for Special Health Needs
Prescription Medication Form Prescription medications must be brought to school by a parent. The medication must come to school in the current prescription bottle with your child’s name, name of the medication, amount of medication to be given, and time it should be given. You may ask the pharmacist to divide the medication into a bottle for home and one for school.
   
Health Insurance Info
Children’s Mercy www.fhp.org
HealthWave www.kansashealthwave.org
Two different insurance plans for your family. Children’s Mercy Family Health Partners and Kansas Heath Wave. Please check the web sites for application and qualifications.
Asthma Care Plan If your child has asthma, Kansas law requires that your child have a care plan filled out by your child’s physician.
EpiPen Care Plan Kansas law requires care plan filled out by your child’s physician with instructions to treat an anaphylactic reaction.
Food Allergy Care Plan Required by law for children with food allergies. Plan needs to be filled out by physician for treatment of possible reaction.
Food Substitution Plan Special dietary needs cannot be accommodated until plan filled out by doctor provides a list of foods students must omit from diet and a list of approved substitutions, including milk and peanut butter.
Pets in School coming soon
Kid and Parent websites coming soon
   
   


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