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MEET OUR SCHOOL NURSESĀ 

Angie Tamburelli  - Glacier Gateway , Chloe Tozzi - Junior High, Brittney Hulett - Ruder, Kristine Zika - High School (left to right)

 

 

 

Below are some of common forms needed: 

IMMUNIZATION FORMS

Below are forms and information regarding the Montana State required pediatric immunizations for school attendance. Please contact your school nurse for any individual questions.  

RELIGIOUS EXEMPTION 

MEDICAL EXEMPTION

CONDITIONAL ENROLLMENT

HISTORY OF VARICELLA (CHICKEN POX)

REQUIRED IMMUNIZATIONS FOR SCHOOL ATTENDANCE

 

MEDICATION FORMS

Below are forms that may apply if your student needs to take medication during school hours. Student medications need to be supplied by parent/guardian and in the original container or prescription bottle.

PRESCRIPTION, SCHEDULED MEDICATION

NON-PRESCRIPTION OR AS-NEEDED MEDICATIONS

SELF CARRY FORM (rescue medications only)

 

 

MEDICAL ACTION PLANS

Below are common medical conditions which may require school intervention. For these or any other medical needs, please have the appropriate forms completed each year by your medical provider and bring to your school nurse in order to make a plan of action for your student.

LIFE THREATENING ALLERGY / ANAPHYLAXIS

ASTHMA ACTION PLAN

CARDIAC ACTION PLAN

DIABETES WITH INSULIN INJECTIONS

DIABETES WITH INSULIN PUMP / POD

G-TUBE / ENTERAL FEEDING ACTION PLAN

HEADACHE / MIGRAINE ACTION PLAN

SEIZURE ACTION PLAN