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Together We: Encourage Learners, Inspire Growth, Embrace Community.
Kerry C. Hoffman Intermediate School
Health Forms
Forms
Page Navigation
Educational Leave of Absence
Health Forms
Clearance Information
Antietam School District Health Information Form (English)
Health info 2324 Eng.pdf
522.37 KB
(Last Modified on August 29, 2023)
Comments (-1)
Antietam School District Health Information Form (Spanish)
Health Info 2324 Sp.pdf
538.83 KB
(Last Modified on August 29, 2023)
Comments (-1)
ASD Medication Administration
ASD medication administration.pdf
146.10 KB
(Last Modified on May 9, 2016)
Comments (-1)
Asthma Action Plan (English)
Asthma Eng.pdf
329.67 KB
(Last Modified on August 29, 2023)
Comments (-1)
Asthma Action Plan (Spanish)
Asthma Sp.pdf
335.07 KB
(Last Modified on August 29, 2023)
Comments (-1)
Authorization for Inhaler at School
AuthorizationforInhaleratSchool.pdf
32.30 KB
(Last Modified on August 20, 2012)
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Bee Sting Action Plan
beestingactionplan.pdf
44.82 KB
(Last Modified on August 20, 2012)
Comments (-1)
Food Allergy and Anaphylaxis Emergency Care Plan (English)
FAAP_Plan_01222019_Fillable.pdf
209.08 KB
(Last Modified on February 7, 2019)
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Food Allergy and Anaphylaxis Emergency Care Plan (Spanish)
emergency-care-plan-spanish.pdf
176.83 KB
(Last Modified on February 7, 2019)
Comments (-1)
Latex Allergy Care Plan
Latex Allergy ECP.pdf
455.96 KB
(Last Modified on December 19, 2017)
Comments (-1)
Medical Plan of Care for School Food Service
Medical Plan of Care SNP.pdf
148.7 KB
(Last Modified on March 15, 2022)
Comments (-1)
Private Dentist Report
Dental Eng.pdf
136.97 KB
(Last Modified on August 29, 2023)
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Private Physician Physical Report (English)
PHYSICAL EXAM form 2012.pdf
266.77 KB
(Last Modified on December 19, 2017)
Comments (-1)
Private Physician Physical Report (Spanish)
Physical Report Sp.pdf
1.29 MB
(Last Modified on August 29, 2023)
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Seizure Action Plan (English)
Seizure Eng.pdf
678.23 KB
(Last Modified on August 29, 2023)
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Seizure Action Plan (Spanish)
Seizure Sp.pdf
478.4 KB
(Last Modified on August 29, 2023)
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