Naomi Mowers, BSN, RN, PHN, LSN
Licensed School Nurse
T:  218-485-4435  ext. 1114
F:  218-351-1295
naomi.mowers@isd97.org
 

FORMS AND INFORMATION FOR FAMILIES

 

Student Contact Information

• Student Contact Information Form
   

Release of Information

• Consent for Release and Exchange of Information Form

Medication Order for Administration in School

• Letter to Parents: How to Set Up Medication Administration at School
• Medication Order Form

Illnesses

• Standard Illness Policy

• Student Health Summary
• Kindergarten Physical Form

Immunizations

• Immunization Requirements & Exemption Form:  K-12
• Immunization Requirements & Exemption Form:  Child Care & Early Childhood

1. 1. Allergies
      • Food Allergy & Anaphylaxis Emergency Care Plan
      • Special Diet Statement
   2. Asthma
      • Asthma Action Plan
   3. Diabetes
      • Diabetes Medical Management Plan
   4. Seizures
      • Seizure Action Plan