Boston Public Schools Healthy Connections

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Forms

Medication Forms

Individual Collaborative Health Plan

Over the Counter Medication Consent Form – English                   Español

Parent / Guardian Medication Administration Authorization Form

Parent/Guardian Authorization for Prescription Self Medication Administration

 

Other Forms

HIPAA Authorization for Exchange of Health & Education Information

Medical Plan of Care for School Food Service - for students that need special dietary accommodations

 Physician’s Statement for Temporary Home/Hospital Education

 

School Nurse Contact List

School Nurse Contact List 2012-2013

 

Immunization Requirements

Massachusetts School Immunization Requirements School Year 2012-2013

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Recent Posts

  • Health & Wellness Department Receives $150,000 from Kohl’s and Children’s Hospital for the New Healthy Families Program
  • Superintendent Johnson Energizes the BPS District Wellness Council
  • 2012-2013 BPS Health & Wellness Calendar
  • Wellness Policy Feedback Session
  • Nurses in Your Corner Health Fair is a Big Success!
  • Wellness Summit Breakout Sessions
  • May is Asthma Awareness Month: Consider Using Safer Cleaning Products in Our Schools
  • Educators from Singapore Visit BPS
  • Healthy Connections Awards presented at 5th Annual Boston Public Schools Wellness Summit
  • Boston Public Schools Listen to Student Voice at the 3rd Annual Youth Wellness Summit
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