Health Forms and Medical Information

 

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Health Announcements

     Meningitis is a potentially fatal illness that may strike at any time. Nearly 10% of those affected, will die from the disease. In some cases-even with treatment-this disease can potentially kill an otherwise healthy young person in less than 48 hours. Those who survive the disease may suffer hearing loss, brain damage and loss of limbs.
     A person can catch meningitis by having contact with someone who has the bacteria in their nose or throat (some may not even be sick/or have symptoms, but still be spreading the disease).
Why take a chance? Most adolescent cases in the US (up to 83%) could potentially be prevented by a single vaccination that has proved to be safe. This vaccine is available at the Williams County Health Department at a cost of $10.00 for adolescents 18 years and under. Many colleges require this vaccine for admission.
     Please call the health department (419) 485-3141 or private physician, if you have any questions.

 

Forms (Please click on any of the following for a printable form.)

General Medication Form

Non-Prescription Medication Instructions

Elementary Non-Prescription

Secondary

Prescription Medication Guidelines

Medication Drop-Off and Pick-Up Instructions

Seizure Action Plan

Asthma Action Plan ALA

Asthma Action Plan Spanish ALA

Diabetes Medical Management Plan

Food Allergy & Anaphylaxis Emergency Care Plan

 

Concussions

http://www.cdc.gov/Concussion/

Diabetes

http://www.diabetes.org/

http://dys4kids.org/

http://dys4kids.org/school-forms-and-documents/

EpiPen Information

http://www.epipen.com/About-EpiPen

Food Allergies

http://www.foodallergy.org

http://www.foodallergy.org/managing-food-allergies/at-school

http://www.nasn.org/ToolsResources/FoodAllergyandAnaphylaxis

Glucagon Information

http://dys4kids.org/wp-content/uploads/2013/02/glucagon_patient.pdf

Head Lice

http://www.odh.ohio.gov/~/media/ODH/ASSETS/Files/chss/school%20nursing/headlice.ashx

http://www.cdc.gov/parasites/lice/head/

Human Trafficking

http://www.odh.ohio.gov/~/media/ODH/ASSETS/Files/chss/school%20nursing/2014%20Definitions.ashx

http://www.odh.ohio.gov/~/media/ODH/ASSETS/Files/chss/school%20nursing/2014%20PROTOCOL%20FlowChart.ashx

Immunization Schedules

http://www.cdc.gov/vaccines/schedules/index.html

Medication Forms

See Medication Forms required for use of medications at school

MRSA

http://www.odh.ohio.gov/~/media/ODH/ASSETS/Files/chss/school%20nursing/mrsaparentbrochure.ashx

http://www.odh.ohio.gov/~/media/ODH/ASSETS/Files/chss/school%20nursing/mrsaathletebrochure.ashx

Seizures

See Seizure Action Plan