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Health Aides and Nurses

 Health Information

Dr. Paula Owsiak
Assistant Superintendent of Learning
(847) 945-1844 x7237
powsiak@dps109.org    

 Student Forms

Certificate of Child Health Examination.pdf
Certificate of Child Health ExaminationUse SHIFT+ENTER to open the menu (new window).
Dental Examination Waiver Form.pdf
Dental Examination Waiver FormUse SHIFT+ENTER to open the menu (new window).
Eye Examination Report.pdf
Eye Examination ReportUse SHIFT+ENTER to open the menu (new window).
Eye Examination Waiver Form.pdf
Eye Examination Waiver FormUse SHIFT+ENTER to open the menu (new window).
Permission to Administer Over-the-Counter Medication Form.pdf
Permission to Administer Over-the-Counter Medication FormUse SHIFT+ENTER to open the menu (new window).
Permission to Administer Prescribed Medication Form.pdf
Permission to Administer Prescribed Medication FormUse SHIFT+ENTER to open the menu (new window).
Permission to Self-Administer Asthma Medication and Epinephrine Auto-Injector.pdf
Permission to Self-Administer Asthma Medication and Epinephrine Auto-InjectorUse SHIFT+ENTER to open the menu (new window).
Proof of School Dental Examination Form.pdf
Proof of School Dental Examination FormUse SHIFT+ENTER to open the menu (new window).

 Health Information Documents

Head Lice Infestation Fact Sheet.pdf
Head Lice Infestation Fact SheetUse SHIFT+ENTER to open the menu (new window).
Treating Head Lice.pdf
Treating Head LiceUse SHIFT+ENTER to open the menu (new window).
Board Policy on Administering Medicine.pdf
Board Policy on Administering MedicineUse SHIFT+ENTER to open the menu (new window).
Board Policy on Communicable and Chronic Infectious Disease.pdf
Board Policy on Communicable and Chronic Infectious DiseaseUse SHIFT+ENTER to open the menu (new window).
Board Policy on Health and Dental Examinations.pdf
Board Policy on Health and Dental ExaminationsUse SHIFT+ENTER to open the menu (new window).

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