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Health Services               Nurses: Download forms for your school Nurses' Packet of Forms Download this PDF file (1.4 MB) that includes all the forms you need to get started at the beginning of the year (Health Care Plan NOT included, see list below). Or you may download the documents individually: Examination and Health History Forms Physical Examination for School Entry Student Health History Form Health Examination for Activities Medication Related Forms Long Term Request for Prescription Medication Long Term Request for Acetaminophen Request for Non-Prescription Medication Authorization for Self-Carry of Medication Request for Short Term Prescription Medication Care & Action Plans Health Care Plan Instructions Health Care Plan (FilemakerPro file) PC users — Right click the link and choose Save target as or Save link as Mac users — CNTRL + Click and choose Save as Allergy/Anaphylaxis Action Plan, Employee Allergy/Anaphylaxis Action Plan, Student Asthma Action Plan Diabetes Care Plan Diabetes Care Plan with Pump Non-Medical Emergency Plan Seizure Action Plan Release Forms ASD Consent for Release of Information DHSS Authorization for Release of Immunization/TB Records Other Forms Request for Special Meals and/or Accommodations Referral to Lions Joint Sight Committee		Health Services Menu Health Services Home About Health Services First Aid Health Forms Immunizations Links

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Anchorage School District 5530 E Northern Lights Blvd Anchorage, Alaska 99504-3135 907-742-4000