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Providence Creek Academy

A Charter School in Clayton, Delaware for Grades K thru 8

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1

Nurse Information

DIAA 2020-21 Preparticipation Physical Form Packet

Grades PreK-6 Student Health Form

Grades 7-12 Student Health Form

Asthma Action Plan

Emergency Care Plan

Student Health History Form

Medication – Parental Permission to Administer in School addendum

Medication – Self Administration of Asthma Inhaler Student Agreement

Medication – Self Administration of Emergency Medication Student Agreement (2)

Senate Bill 114

School Entry Immunization Letter

Field Trip Medication Forms

Tuberculosis Questionnaire For Students

*Note: If you do not want your child to participate in the screens you must call and notify the school nurse. If you child has any issues in passing the screens you will be notified by the school nurse. If you have any questions please feel free to contact the nurse’s office at (302)653-6276 ext.107

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