This form must be completed for your child to see the school nurse for ANY service; such as administration of Tylenol, Ibuprofen, Band-Aids, etc.
The telehealth consent on page 8 is optional. If you do not complete the telehealth consent on these pages, your child can still be seen by the school nurse, but not a provider.
If you have any questions, please contact A Plus Family
HealthCare at 270-975-4050.