Lincoln Pius X Catholic High School

Paper work required to health office by Aug. 20

Here’s what is required for health information for all students:
• Over the counter medication administration form
• Up-to-date immunization record

Students with allergy/asthma:
• Asthma/allergy action plan
• If able to self- administer, Hold Harmless form

Diabetic Students
• Diabetes action plan or written by parent
• If able to self- administer, Hold Harmless form
Students with a Seizure disorder
• Seizure action plan (website) or written by parent

Incoming Sophomores
• Ht/wt, vision and hearing is done on all sophomores by the school nurse if not completed in a physical done within 6 months of the first day of school
• Most recent dental exam verification

Forms can be found on the Pius website under the Parent tab-health information. Questions can be directed to the school nurse, Jennifer Dynek RN,BSN at Jennifer-dynek@cdolinc.net or at Pius X at 402-488-0931.

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