MEDICATION RETRIEVAL FROM SCHOOLS
|
|
- Claude Gibbs
- 8 years ago
- Views:
Transcription
1 Directive to Administrators (Specify which administrators) WAD (Wednesday) Publication Date WAD Notice Number No. of Pages All Administrators WAD Title (Limit to 4-6 Words) May 6, 2015 Date Due (if applicable) 1 of 5 Not Applicable After Medication Retrieval from Schools From Kim Coates Title Executive Director, School Health Programs, SFCSD Signature Inform: ( x ) Certificated Staff ( x ) Classified Staff ( x ) Parents ( ) Post on Bulletin Board Other Administrative Directive N/A May 30, 2015 Telephone MEDICATION RETRIEVAL FROM SCHOOLS WHAT: All unused, discontinued, or outdated medication must be returned to student s parent/guardian at the end of the school year. WHO: WHY: The School Administrator must designate a school staff member to coordinate the return or disposal of unused medication. CA Ed Code and CA Code of Regulations requires that medication is returned to parent or legal guardian where possible; such medication that cannot be returned to the pupil s parent or legal guardian is disposed of by the end of the school year in accordance with the applicable law. HOW: a) Parents/guardians must be notified two weeks prior to the end of school (by May 16) to retrieve the medication at the school. (Parent/guardian letters are attached) To ensure parent/guardian contact, it may be necessary to notify the parent/guardian by phone. b) Notification for the school year Please attach blank Medication Forms and Emergency Care Plans so that forms can be completed by the parents/guardians and health care providers during the summer for school year. Forms can be downloaded from the School Health Manual, now on the SFCSD website at and c) Medication that is RETURNED must be documented in the following manner: Document return of medication to parent/guardian on the student s medication log The log should indicate the name of the medication and the return date The parent/guardian receiving the medication should sign the medication log The school staff member returning the medication to parent/guardian should also sign the medication log Administrative Directive
2 MEDICATION RETRIEVAL FROM SCHOOLS CONTINUED IF THE PARENT/GUARDIAN DOES NOT CLAIM THE MEDICATION Do not give medication to the student to bring home Do not dispose of unclaimed medication in the trash/toilet/recycle bin Medication should be brought to the San Francisco Safe Medicine Disposal Location near your school (see attached list of Safe Medicine Disposal Locations) Follow this procedure for disposal of medication via the Safe Medicine Disposal Locations: Medication to be disposed of must be witnessed by another school staff member as it is put into an envelope and sealed. Documentation on the medication log must include: o Date of disposal o Medication name o Method of disposal (name of Safe Medicine Disposal Location) o Source for instructions of disposal method o Signatures of the person disposing of the medication and the witness to the disposal o Signature of Safe Medicine Disposal location staff member receiving the envelope Please contact the Nurse of the Day at School Health Programs, SFCSD, at if there are any questions. Attached Documents: 1) Safe Medicine Disposal Locations San Francisco 2) Request for Retrieval of Medication (English, Spanish, Chinese) Approved Kevin Truitt Associate Superintendent, Student, Family and Community Support Department Signature SAN FRANCISCO UNIFIED SCHOOL DISTRICT WEEKLY ADMINISTRATIVE DIRECTIVE (WAD)
3 Safe Medicine Disposal Locations All drop-off sites accept these non-controlled substances: prescription medicines, over-the-counter medicines, vitamins, liquid medicines, empty inhaler cartridges, pet medicines and medicated ointments. Central Drug Store 4494 Mission St. SF, CA Charlie's 1101 Fillmore St. SF, CA Clay Medical 929 Clay St. #103 SF, CA Daniels 943 Geneva Ave. SF, CA Four Fifty Sutter 450 Sutter St. #712 SF, CA Franklin 1508 Franklin St. SF, CA Golden Gate 1844 Noriega St. SF, CA Mission Wellness 2424 Mission St. SF, CA AHF / MOMS th St. SF, CA Post Divisadero Medical 2299 Post St. SF, CA SFPUC Southeast Community Facility 1800 Oakdale Ave. SF, CA Torgsyn Discount Inc Geary Blvd. SF, CA Visitacion Valley 100 Leland Ave. SF, CA 94134
4 Safe Medicine Disposal Locations Only police stations accept controlled substances like: Vicodin, OxyContin, Percocet, Ritalin, Adderall, Xanax, and Valium. They also accept all items accepted at the pharmacies. Bayview Station 201 Williams St. SF, CA Central Station 766 Vallejo St. SF, CA Ingleside Station 1 John V. Young Ln. SF, CA Mission Station 630 Valencia St. SF, CA Northern Station 1125 Fillmore St. SF, CA Park Station 1899 Waller St. SF, CA Richmond Station 461 6th Ave. SF, CA Southern Station 850 Bryant St. SF, CA Taraval Station th Ave. SF, CA Tenderloin Station 301 Eddy St. SF, CA Please dispose of your expired or unwanted medicines at a drop-off site near you. At a pharmacy, you can pour pills directly into the medicine drop-box, but keep liquid medicine in its original container. At a police station, hand all medicines to the officer on duty. 10/14 PLEASE SEE DB
5 REQUEST FOR RETRIEVAL OF MEDICATION Date Dear Parent/Guardian: In accordance with California Education Code, you are responsible for collecting your child s medication from the school at the end of the school year. Medications that remain after the last day of school will be discarded. For your convenience, we are enclosing a Medication Form and Emergency Care Plan. These forms must be completed by your child s health care provider and returned at the start of the school year if medications are to be taken at school during the school year. We urge you to make an appointment with your child s health care provider during the summer. Sincerely, Principal
6 取 回 用 剩 藥 物 通 知 親 愛 的 家 長 / 監 護 人 : 依 照 加 州 教 育 法 令, 閣 下 有 責 任 在 學 年 終 結 前 到 學 校 取 回 子 女 用 剩 的 藥 物 如 學 年 結 束 後 還 未 被 取 回, 所 剩 藥 物 將 被 扔 掉 為 方 便 閣 下, 我 們 已 隨 函 附 上 一 份 藥 物 治 療 表 格 和 一 份 緊 急 護 理 計 劃 這 些 表 格 必 須 由 閣 下 子 女 的 醫 生 或 其 他 醫 療 保 健 提 供 者 填 妥 如 閣 下 子 女 在 學 年 需 要 在 校 服 藥, 請 務 必 在 新 學 年 開 始 之 際 將 表 格 交 回 學 校 我 們 呼 籲 閣 下 在 暑 假 期 間 安 排 約 見 子 女 的 醫 生 或 其 他 醫 療 保 健 提 供 者 校 長 啟 Request for Retrieval of Medication Translation Provided by SFUSD Translation Department
7 SOLICITUD PARA QUE RETIRE EL MEDICAMENTO DE LA ESCUELA Fecha: Estimado padre de familia o encargado: De acuerdo con el Código de Educación del Estado de California, usted es responsable de recoger el medicamento de su hijo/a, cuando finalice el año escolar. Cualquier medicina que permanezca después del último día de clases será desechada. Para su conveniencia, le adjuntamos el Formulario para la Medicación y el Plan de Emergencia del estudiante. Estos formularios los debe de completar el doctor del educando u otro proveedor de servicios médicos, y deberá devolverlos a la escuela cuando se inicie el año escolar Lo instamos para que haga una cita con el doctor de su hijo/a u otro proveedor de servicios médicos durante el verano. Atentamente, Director Request for Retrieval of Medication Translation provided by SFUSD Translation Department
LOS ANGELES UNIFIED SCHOOL DISTRICT Policy Bulletin
Policy Bulletin TITLE: NUMBER: ISSUER: Procedures for Requests for Educationally Related Records of Students with or Suspected of Having Disabilities DATE: February 9, 2015 Sharyn Howell, Executive Director
More informationINFORMATIONAL NOTICE
Rod R. Blagojevich, Governor Barry S. Maram, Director 201 South Grand Avenue East Telephone: (217) 782-3303 Springfield, Illinois 62763-0002 TTY: (800) 526-5812 DATE: March 4, 2008 INFORMATIONAL NOTICE
More informationEnrollment Forms Packet (EFP)
Enrollment Forms Packet (EFP) Please review the information below. Based on your student(s) grade and applicable circumstances, you are required to submit documentation in order to complete this step in
More informationLOS ANGELES UNIFIED SCHOOL DISTRICT POLICY BULLETIN
TITLE: NUMBER: ISSUER: Guidelines for the Use of Audiovisual Materials Not Owned, Broadcast, or Recommended by the District BUL-5210 Judy Elliott, Chief Academic Officer ROUTING Local District Superintendents
More informationLOS ANGELES UNIFIED SCHOOL DISTRICT BULLETIN
TITLE: NUMBER: ISSUER: Parental Exception Waivers: Procedures and Guidelines for Requesting Alternative Programs for English Learners, K-12 Dr. Judy Elliot, Chief Academic Officer Instructional Services
More informationA b i l e n e I n d e p e n d e n t S c h o o l D i s t r i c t ABILENE INDEPENDENT SCHOOL DISTRICT MEDICATION ADMINISTRATION PROCEDURES
A b i l e n e I n d e p e n d e n t S c h o o l D i s t r i c t 241 Pine Street Abilene, Texas 79601 (325) 677-1444 ABILENE INDEPENDENT SCHOOL DISTRICT MEDICATION ADMINISTRATION PROCEDURES All prescription
More informationProgram Update: San Francisco s Safe Medicine Disposal Pilot
Edwin M. Lee Mayor Melanie Nutter Director Program Update: San Francisco s Safe Medicine Disposal Pilot Introduction: San Francisco s Safe Medicine Disposal Pilot Program has been in operation since April
More informationLOS ANGELES UNIFIED SCHOOL DISTRICT REFERENCE GUIDE
REFERENCE GUIDE TITLE: No Child Left Behind (NCLB): Qualifications for Teachers; Parent Notification Requirements and Right to Know Procedures, Annual Principal Certification Form ROUTING All Schools and
More informationSpecial Programs. Extended Day/Week Tutorial Program Guidelines
2013 2014 Special Programs Extended Day/Week Tutorial Program Guidelines In Brownsville ISD, every opportunity is extended to help our lowest achieving students become academically successful. In support
More informationApplication for Admission 2016-2017 School Year
Application for Admission 2016-2017 School Year Mail or deliver applications to: Admissions Office Cristo Rey Columbus High School 400 East Town Street Columbus, Ohio 43215 Phone: (614) 223-9261 x 12008
More informationMonterey County Behavioral Health Policy and Procedure
Monterey County Behavioral Health Policy and Procedure 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Policy Number 144 Policy Title Disclosure of Unlicensed Status for License
More informationColquitt County Schools Enrollment Packet. Request Forms Middle School
Enrollment Packet Request Forms Middle School Statement of Objection to Use of Social Security Number for Student Identification Request I do not wish to provide the Social Security Number of my child/children.
More informationLOS ANGELES UNIFIED SCHOOL DISTRICT BULLETIN
TITLE: NUMBER: ISSUER: Parental Exception Waivers: Procedures and Guidelines for Requesting Alternative Programs for English Learners, K-12 BUL-4153.1 Jaime R. Aquino, Ph.D. Deputy Superintendent of Instruction
More informationApplication for Admission 2014-2015 School Year
Application for Admission 2014-2015 School Year Mail or deliver applications to: Admissions Office Cristo Rey Columbus High School 840 West State Street Columbus, Ohio 43222 Phone: (614) 223-9261 x 227
More informationFERNDALE AREA SCHOOL DISTRICT
No. 210 SECTION: PUPILS FERNDALE AREA SCHOOL DISTRICT TITLE: MEDICATIONS ADOPTED: AUGUST 1985 REVISED: DECEMBER 6, 2000 MAY 9, 2007 JUNE 17, 2009 JUNE 18, 2014 210. MEDICATIONS REVISED: 1. Purpose The
More informationLOS ANGELES UNIFIED SCHOOL DISTRICT REFERENCE GUIDE
TITLE: NUMBER: ISSUER: Spring Semester 2014 Alternate Emergency Exercise Earl R. Perkins, Assistant Superintendent School Operations Office of the Superintendent ROUTING Instructional Superintendents Administrators
More informationROCHESTER AREA SCHOOL DISTRICT
No. 210 SECTION: PUPILS ROCHESTER AREA SCHOOL DISTRICT TITLE: USE OF MEDICATIONS ADOPTED: August 11, 2008 REVISED: August 25, 2014 210. USE OF MEDICATIONS 1. Purpose The Board shall not be responsible
More informationATLANTA INTERNATIONAL PHYSICAL THERAPY, INC.
.Specwtlfczlkuj Ut Pedlfltric. physical, occ.upflt«>ithl, Speech Therapy sen/tees PATIENT INFORMATION Patient Name (Nombre del paciente] Date of Birth (Fecha de nacimiento] Address (Direccion] City [Cuidad]
More informationLOS ANGELES UNIFIED SCHOOL DISTRICT REFERENCE GUIDE
TITLE: NUMBER: ISSUER: Service Completion Criteria for Speech Language Impairment (SLI) Eligibility and Language and Speech (LAS) Services REF-4568.1 DATE: August 24, 2015 Sharyn Howell, Associate Superintendent
More informationADMINISTRATION OF MEDICATION
ADMINISTRATION OF MEDICATION IN SCHOOLS MARYLAND STATE SCHOOL HEALTH SERVICES GUIDELINE JANUARY 2006 (Reference Updated March 2015) Maryland State Department of Education Maryland Department of Health
More informationSUMMER PROGRAM APPLICATION
www.iefl.org SUMMER PROGRAM APPLICATION LATINO STUDENT LEADERSHIP CONFERENCE July 29 August 3, 2012 ASTROCAMP IDYLLWILD, CALIFORNIA MAY BE DUPLICATED INLAND EMPIRE Dear Student: If you are an eighth- or
More informationREDWOOD CITY SCHOOL DISTRICT Educa&ng Every Child For Success. Local Control Funding Formula (LCFF) Community Engagement Mee@ng
REDWOOD CITY SCHOOL DISTRICT Educa&ng Every Child For Success Local Control Funding Formula (LCFF) Community Engagement Mee@ng 1 Purpose of Today s Mee@ng Redwood City School District (RCSD) cares about
More informationPlease email: tchin@sbnature2.org for more details.
Medication Protocol: All medications (both over-the-counter and prescribed) must be cleared by the camper s guardian (additionally all prescribed meds must be cleared by a Physician) by filling out the
More informationFISD Field Study Guidelines and Procedures
600 South Bois d Arc * Forney, Texas 75126 * 972-564-4055 * Fax: 972-564-7007 * www.forneyisd.net FISD Field Study Guidelines and Procedures Note: FISD Field Study Request Forms must be submitted to the
More informationJames B. Rolle Elementary 21 st CCLC Before and After School Program
James B. Rolle Elementary 21 st CCLC Before and After School Program August 26, 2014 Morning Session: 7:15 AM 8:15 AM Afternoon Session: 3:30 PM 4:45 PM James B. Rolle 21 ST CCLC Before and After School
More informationIowa School Medication Waste Guidance
Iowa School Medication Waste Guidance Medication Waste Guidance Medication administration in the school setting is a component of the nursing practice. The Iowa Board of Nursing acts in collaboration with
More informationADMINISTRATION OF MEDICATION
SOUTH LYON COMMUITY SCHOOLS 5330/page 1 of 6 ADMINISTRATION OF MEDICATION Definitions Medication includes both prescription and non-prescription medications including those taken by mouth, inhaler, injection,
More informationWorking Families Credit
APPLICATION SAN FRANCISCO WORKING FAMILIES CREDIT OPENING A BANK ACCOUNT PAYS! Get more from the City when you use direct deposit! 1 st Time Applicants Only. Working Families Credit City & County of San
More informationLOS ANGELES UNIFIED SCHOOL DISTRICT REFERENCE GUIDE
TITLE: Environmental Health Advisory Procedures ROUTING All Schools and Offices NUMBER: ISSUER: Robert Laughton, Director Office of Environmental Health and Safety DATE: March 30, 2015 Thelma Meléndez,
More informationStudent Name Nombre del Estudiante Grade/Grado School/Escuela. Relationship to student Relacion con el estudiante
LSNC Summer Camp 2015 Camper Enrollment Form This form must be completed and signed by the parent or guardian of a student enrolling in the Summer Camp STUDENT INFORMATION/INFORMACION DEL ESTUDIANTE Student
More informationDate Submitted: July 20, 2000 Date Reviewed: May 31, 2005 January 17, 2006 March 17, 2009 Subject: Administration of Medication
POLICY SOMERSET COUNTY BOARD OF EDUCATION 1. PURPOSE Date Submitted: July 20, 2000 Date Reviewed: May 31, 2005 January 17, 2006 March 17, 2009 Subject: Administration of Medication Number: 600-32 Date
More information* Teacher recommendation and/or approval required.
Rubén Darío Middle Community School Student Registration Form 2015-2016 Grade 7 Regular Program ESE Gifted ESOL 1 2 3 4 Reading FCAT Level (2014) Mathematics FCAT Level (2014) Name: I.D. # Seventh grade
More informationFREE Tutoring for your child!
Educational Services presents 2014-2015 FREE Tutoring for your child! If your child attends one of the following schools AND receives Free or Reduced priced meals they may be eligible for FREE Tutoring.
More informationChicago Public Schools Policy Manual
Chicago Public Schools Policy Manual Title: ADMINISTRATION OF MEDICATION DURING SCHOOL HOURS Section: 704.2 Board Report: 06-0927-PO1 Date Adopted: September 27, 2006 Policy: The Chief Executive Officer
More informationLiberty Union High School District Administrative Regulation
Page 1 of 7 Definitions Authorized health care provider means an individual who is licensed by the State of California to prescribe or order medication, including, but not limited to, a physician or physician
More informationLog Ins. Site Student Teacher Username Password Username Password N/A N/A nicem5432 user created
Computer 1 Log Ins Sample Student! Ana Bryce! Student#: 123456! Password: Snake23! Sample School! Cost Center#: 0123! Sample Teacher! Mary Nicest! Munis ID#: 654321! Grouper Password: Ma12ni34! Munis/LEARN/Moodle
More informationEagle Eye. Watch Us SOAR! Upcoming Dates: Congratulations to Chef Mark! Humble ISD Elementary Cafeteria Manager of the Year! Way to go!
Watch Us SOAR! Issue 35 Eagle Eye Principal ~ April Maldonado Assistant Principal ~ Donna Burkhardt Eagle Springs Elementary 12500 Will Clayton Parkway ~ Humble, Texas 77346 Main (281) 641-3100; Fax (281)
More informationSixth & Eighth Grade Scholarship Letter Deadline April 15, 2013
2012-2013 CABE South County Chapter Officers School Co- Alain E. Garnica- Mendoza School Trustee - Sweetwater Union School Liaison Transforming Education for English Learners San Ysidro School Sixth &
More informationTIDEHAVEN INDEPENDENT SCHOOL DISTRICT ENGLISH AS A SECOND LANGUAGE PROGRAM. LARGO VIVE ESPAÑOL CONVERSACION mucho
TIDEHAVEN INDEPENDENT SCHOOL DISTRICT ENGLISH AS A SECOND LANGUAGE PROGRAM LARGO VIVE ESPAÑOL CONVERSACION mucho Updated 11/99 TIDEHAVEN INDEPENDENT SCHOOL DISTRICT ENGLISH as a SECOND LANGUAGE CAMPUS
More informationQuestions or Feedbacl<? i Schoolwires Privacy Policy (Updated)! Tenns of Use
7f23/2015 aspiraillinois.schoolwires.net/siteldefaullaspx?pagetype=3&domainld=8&modulelnstanceld=177&viewld=047e6be3-6d87-4130-8424-d8e4e9ed6c2a&renderloc=o&flexdatald=40&pageld=9 ~?RA... c. 7~1LLNOS L
More informationIMPERIAL VALLEY COLLEGE REQUIREMENTS FOR ADMISSION OF SPECIAL STUDENTS IN GRADES 11-12
1 IMPERIAL VALLEY COLLEGE REQUIREMENTS FOR ADMISSION OF SPECIAL STUDENTS IN GRADES 11-12 Information Does Not Apply to Students Who Will Graduate Before Classes Begin THINKING ABOUT TAKING A COLLEGE COURSE?
More informationThe Tiger Chronicles Volume 1 Issue 9
The Tiger Chronicles Volume 1 Issue 9 HARMONY SCIENCE ACADEMY JANUARY 28, 2014 Upcoming Events: Jan. 26 Jan. 30 National School Choice Week Feb. 7 STEM Festival Feb. 2 Feb. 6 STEM Week We are delighted
More informationDEFINITIONS: For purposes of this policy, the definitions included in this section apply:
STUDENTS Administrative Procedures 516A Administering Prescribed Medication in School Students may require prescribed medication at school in order to benefit from their educational experience. The following
More informationCHILD CARE 2016 SUMMER CREDENTIAL COURSES NEW YORK
CHILD CARE 2016 SUMMER CREDENTIAL COURSES NEW YORK 100% online Convenient, evening classes Caring instructors with field experience Scholarships available We are proud to offer you the fully accredited
More informationTourist Visa Application Form
Introduction Tourist Visa Application Form This document contains the official visa application form issued by the Immigration and Naturalization Services of Costa Rica (Direccion General de Migracion)
More informationPATIENT INFORMATION PATIENT NAME: BIRTHDATE: / / AGE: SOCIAL SECURITY # MARITAL STATUS: ( ) S ( ) M ( ) W ( ) D HOME TELEPHONE # CELLULAR # RELIGION:
NEW PATIENT INFORMATION PRIMARY CARE DOCTOR: PCP # FAX # PATIENT NAME: BIRTHDATE: / / AGE: SOCIAL SECURITY # MARITAL STATUS: ( ) S ( ) M ( ) W ( ) D HOME TELEPHONE # _ CELLULAR # RELIGION: STREET ADDRESS:
More informationYour child has been scheduled for an appointment in Diabetes Clinic of the Children s Hospital University of Illinois
To the Parent/Guardian of: Welcome to the Diabetes Clinic! Your child has been scheduled for an appointment in Diabetes Clinic of the Children s Hospital University of Illinois on: at: with: We have enclosed
More informationHepatitis B Testing and Vaccination - San Francisco, Bay Medical Center
Hepatitis Testing & Vaccination: San Francisco Area The American Liver Foundation strives to provide the most accurate and up-to-date information. However, please be advised that the information listed
More informationADMINISTERING MEDICINES TO STUDENTS
Adopted June 1977 Revised November 1985 Revised April 2004 Revised September 2007 APS Code: JLCD Students shall not be permitted to take medication while at school unless such medication is administered
More informationADMINISTRATION OF DRUG PRODUCTS/MEDICATIONS TO STUDENTS
ADMINISTRATION OF DRUG PRODUCTS/MEDICATIONS TO STUDENTS 453.4 Drug products/medications are given to students in the school setting to continue or maintain a medical therapy which promotes health, prevents
More informationSummer Employment Application 2014
Summer Employment Application 2014 Thank you for your interest in the North Shore Youth Career Center s Summer Youth Program 2014. The next step in the process is to complete this application and include
More informationUNITED FINANCIAL EMPOWERMENT $ CENTER NOW CLAIM IT! GET YOUR TAXES DONE FOR FREE *!
File a Tax Return to Claim the Tax Benefits You Earned with the Earned Income Credit and Child Tax Credit NOW CLAIM IT! If you worked in 2012 and earned less than $50,000... GET YOUR TAXES DONE FOR FREE
More informationBenedictine College Financial Aid
2015 2016 Institutional Verification Document V4 Dependent Your 2015 2016 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says that before
More informationPROCEDURES FOR COMPLETION OF WORK COMP CLAIMS PAPERWORK
PROCEDURES FOR COMPLETION OF WORK COMP CLAIMS PAPERWORK Please complete the attached packet in the following manner. Forms must be completed within 24 hours of reporting the injury/illness to supervisor.
More information105 CMR: DEPARTMENT OF PUBLIC HEALTH 105 CMR 210.000: THE ADMINISTRATION OF PRESCRIPTION MEDICATIONS IN PUBLIC AND PRIVATE SCHOOLS
105 CMR 210.000: THE ADMINISTRATION OF PRESCRIPTION MEDICATIONS IN PUBLIC AND PRIVATE SCHOOLS Section 210.001: Purpose 210.002: Definitions 210.003: Policies Governing the Administration of Prescription
More informationBALANCE DUE 10/25/2007 $500.00 STATEMENT DATE BALANCE DUE $500.00 PLEASE DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
R E M I T T O : IF PAYING BY MASTERCARD, DISCOVER, VISA, OR AMERICAN EXPRESS, FILL OUT BELOW: XYZ Orthopaedics STATEMENT DATE BALANCE DUE 10/25/2007 $500.00 BALANCE DUE $500.00 ACCOUNT NUMBER 1111122222
More informationMY CHILD HAS A MEDICAL CONDITION WHICH MAY REQUIRE ATTENTION AT SCHOOL (MEDIC ALERT)
TILLAMOOK School District #9 Teacher: Grade: HEALTH QUESTIONAIRE STUDENT S NAME: BIRTHDATE: COUNTRY OF BIRTH: STUDENT S ADDRESS: PHONE: CELL: MY CHILD HAS A MEDICAL CONDITION WHICH MAY REQUIRE ATTENTION
More informationAffordable Rental Housing in San Francisco County
1028 Howard Street 1028 Howard Street 1028 Howard Street 1028 Howard Street 425.621.5401 10th and Mission Family Housing 1390 Mission Street 10th and Mission Family Housing 1390 Mission Street 415.861.2940
More informationGeneration R x. Prescription Drug Abuse and Your Teens
Generation R x Prescription Drug Abuse and Your Teens So, what exactly is prescription drug abuse? Taking a medication that was not prescribed to you. Purposefully taking the wrong dosage of a prescribed
More informationOVERVIEW OF THE AUTOMATED INFORMATION AND NOTIFICATION SYSTEM
Automated Information And Notification System (AINS) Users Guide 1 OVERVIEW OF THE AUTOMATED INFORMATION AND NOTIFICATION SYSTEM The Health Check Automated Information and Notification System (AINS) is
More informationLOS ANGELES UNIFIED SCHOOL DISTRICT Policy Bulletin
TITLE: NUMBER: ISSUER: GUIDELINES FOR THE USE OF AUDIOVISUAL MATERIALS NOT OWNED, BROADCAST, OR RECOMMENDED BY THE DISTRICT BUL-1270 James Morris, Assistant Superintendent Instructional Support Services
More informationRULE. The Administration of Medication in Louisiana Public Schools
RULE The Administration of Medication in Louisiana Public Schools Developed in 1994 by The Louisiana State Board of Elementary and Secondary Education and The Louisiana State Board of Nursing Amendments
More informationMEMBER S CHOICE: THE REQUESTED SPANISH PHRASES FOR THE PHARMACY STEPHANIE LANGSTON, MFLE
MEMBER S CHOICE: THE REQUESTED SPANISH PHRASES FOR THE PHARMACY STEPHANIE LANGSTON, MFLE MEMBER S CHOICE: THE REQUESTED SPANISH PHRASES FOR THE ACTIVITY DESCRIPTION Verification of identity, drug allergies
More informationMemorial Health Care System Catholic Health Initiatives Financial Assistance Application Form
B Please note - Memorial Hospital may access external validation resources to assist in determining whether a full application for assistance is required. Financial Assistance Application 1) Patient Name
More informationADMINISTRATION OF MEDICATIONS POLICY
Policy 6.007. ADMINISTRATION OF MEDICATIONS POLICY It is the policy of Cooperative Educational Services (C.E.S.) that students who require any medications to be administered during school hours, including
More informationBIKE TO WORK DAY. Dear San Francisco Employer,
PRESENTED BY Get ready for BIKE TO WORK DAY Dear San Francisco Employer, Bike to Work Day is on Thursday, May 12, 2016, and the San Francisco Bicycle Coalition is here to help get your workplace rolling
More informationMilitary Scholarship & Employment Program (MSEP)
MSEP Military Scholarship & Employment Program (MSEP) INCLUDES: Army Spouse Employment Partnership (ASEP); Army/Air National Guard; Air Force; Marine Corps; Navy; Coast Guard CONTENTS SUMMARY:...3 WHO
More informationGood afternoon! Upcoming Events and Dates: Friday, March 20 th CAPS Conferences for students.
Good afternoon! This web site will allow you to keep up with what s going on at Palmetto. Each week Palmetto Middle School is going to post a weekly update on this page. This site will keep you informed
More informationAPS ELEMENTARY SCHOOL PLANNING SURVEY
ARLINGTON PUBLIC SCHOOLS PLANNING AND EVALUATION OFFICE APS ELEMENTARY SCHOOL PLANNING SURVEY SURVEY PROCESS & DATA SUMMARY PLANNING AND EV ALUATION O FFICE 1426 NORTH Q UINCY STREET A RLINGTON, VA 22207
More informationFAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner
FAMILY INDEPENDENCE ADMINISTRATION Seth W. Diamond, Executive Deputy Commissioner James K. Whelan, Deputy Commissioner Policy, Procedures and Training Lisa C. Fitzpatrick, Assistant Deputy Commissioner
More informationHow To Administer Medication In West Virginia
WOOD COUNTY BOARD OF EDUCATION Last Reviewed: July 18, 2006 Policy 5140 Medication Administration Next Review: July 18, 2008 I. Purpose A. Good health and safety are essential to student learning. The
More informationADMINISTRATION OF MEDICATION BY AUTHORIZED POLK COUNTY SCHOOL PERSONNEL
ADMINISTRATION OF MEDICATION BY AUTHORIZED POLK COUNTY SCHOOL PERSONNEL 1. Principals/Directors of each school are required to designate a minimum of three staff members as Health Contacts who will be
More informationBattlefield High School Information Technology Specialty Program Application Packet 2011-2012
Battlefield High School Information Technology Specialty Program Application Packet 2011-2012 15000 Graduation Drive Haymarket, VA 20169 www.battlefieldit.org Joseph Huddle, it Program Coordinator huddlejc@pwcs.edu
More informationDefinitions For the purpose of this policy, the following definitions shall apply:
5141.21 Administration of Student Medications in the Schools A licensed school nurse, or in the absence of such nurse, qualified personnel for schools may administer medication to students in the school
More informationSummer Reading and Class Assignments 2014-2015 Rising Seniors
Student Name: Summer Reading and Class Assignments 2014-2015 Rising Seniors JIMMY CARTER EARLY COLLEGE HIGH SCHOOL LA JOYA INDEPENDENT SCHOOL DISTRICT To the Class of 2015: Jimmy Carter Early College High
More informationDAMAR MEDICAL CENTER, INC
PATIENT INFORMATION TODAY S DATE: / / (INFORMACION DEL PACIENTE) MES/DIA /AÑO: / / PATIENT S NAME: NOMBRE Y APELLIDO: D.O.B.: / / FECHA DE NACIMIENTO / / ADDRESS: CITY: ZIP CODE DIRECCION CIUDAD: CODIGO
More informationCopyright 2016-123TeachMe.com 242ea 1
Sentence Match Quiz for Category: por_vs_para_1 1) Son las habitaciones accesibles para discapacitados? - A: Are the rooms handicapped accessible? - B: You must fill out this form in order to get work
More informationSTATE OF CONNECTICUT REGULATION of State Department of Education Name of Agency
Page 1 of 12 STATE OF CONNECTICUT REGULATION of State Department of Education Name of Agency Concerning Subject Matter of Regulations Administration of Medication by School Personnel and Administration
More informationAsk your child what he or she is learning to say in Spanish at school. Encourage your child to act as if he or she is your teacher.
Welcome to Descubre el español con Santillana! This year, your child will be learning Spanish by exploring the culture of eight Spanish-speaking countries. Please join us as we travel through each of the
More informationCHALLENGE TO INSTRUCTIONAL AND LIBRARY MATERIAL
CHALLENGE TO INSTRUCTIONAL AND LIBRARY MATERIAL The final decision for instructional and library materials rests with the School Board. The following procedures will be used for challenges to Instructional
More informationHealth System Offers Back-to-School Tdap Clinics to 7 th 12 th Graders
FOR IMMEDIATE RELEASE Contact: Robyn Thaw (650) 573-3935 September 26, 2011 San Mateo County Health System Health System Offers Back-to-School Tdap Clinics to 7 th 12 th Graders SAN MATEO Little time is
More informationEcuador Official visa Application
Ecuador Official visa Application Please enter your contact information Name: Email: Tel: Mobile: The latest date you need your passport returned in time for your travel: Ecuador official visa checklist
More informationPROGRAMA DE ESTUDIANTES DE INTERCAMBIO AÑO ACADÉMICO 2013-2014 NAME: UC:
UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO DIRECCIÓN GENERAL DE COOPERACIÓN E INTERNACIONALIZACIÓN (DGECI) PROGRAMA DE ESTUDIANTES DE INTERCAMBIO AÑO ACADÉMICO 2013-2014 NAME: UC: You are going to receive
More informationEarly Childhood Education Program
6410 Carolina Beach Rd / Wilmington, NC 28412 Phone (910) 254-4340 or 4390 / Fax (910) 254-4117 Thank you for your interest in our program. This is the first step in the process of determining your child
More informationPlease put above in a plastic Ziploc bag with your child s name on it.
Dear Parent(s), You have noted your child has medications related to an allergic reaction. The Stamford Museum & Nature Center s requirements for noted medications are as follows: Epi-pen requirements
More informationArizona Medication Disposal Toolkit
Arizona Medication Disposal Toolkit Arizona Injury Prevention and Surveillance Program Prepared by Alana Shacter, MPH March, 2011 This document is an overview of recent prescription drug and over-the-counter
More informationPolicy for the Storage and Administration of Medication in Custody Suites
Not Protectively Marked Policy for the Storage and Administration of Medication in Custody Suites Policy Reference No. P22:2000 Portfolio Holder Assistant Chief Constable Policy Owner Superintendent Donnell
More informationPATIENT'S INFORMATION REGISTRATION SHEET / INFORMACION DEL PACIENTE
DAN S. COHEN, M.D PATIENT'S INFORMATION REGISTRATION SHEET / INFORMACION DEL PACIENTE PLEASE PRINT CLEARLY / POR FAVOR ESCRIBA LEGIBLEMENTE TODAY S DATE / FECHA DE HOY: PATIENT'S NAME/NOMBRE DEL PACIENTE:
More information2. Please read carefully, print neatly and complete the entire Enrollment Form, including the Enrollment Checklist.
First Health Part D Medicare Prescription Drug Plan (PDP) Individual Enrollment Form Instructions Follow these easy instructions to enroll in First Health Part D. If you have any questions, please call
More informationPlumbers and Irrigators INSTRUCTIONS -- PLEASE READ CAREFULLY
Phone:(401)462-8580 Fax: (401)462-8528 www.dlt.ri.gov/profregs Plumbers and Irrigators INSTRUCTIONS -- PLEASE READ CAREFULLY Applications that are incomplete or missing required documents will not be processed
More informationTitle POLICY NO. 210.1 POSSESSION/USE OF ASTHMA INHALERS
Policy No. 210.1 KEYSTONE OAKS SCHOOL DISTRICT Section PUPILS Policy Guide Title POSSESSION/USE OF ASTHMA INHALERS Adopted DECEMBER 9, 2009 Revised POLICY NO. 210.1 1. Authority The Board shall permit
More informationNEW STUDENT REGISTRATION REQUIREMENTS
Lovejoy Independent School District NEW STUDENT REGISTRATION REQUIREMENTS Student's First Name Middle Last Grade Before a parent/guardian of a new student is allowed access to complete the LISD online
More informationAdministration of Medication in Schools
Michigan Department of Education Michigan Department of Community Health Administration of Medication in Schools MODEL SCHOOL NURSE GUIDELINE Original Date of Issue: 2014 Michigan Department of Education,
More informationLicensed Child Day Center Program Decision on the Administration of Medication
Licensed Child Day Center Program Decision on the Administration of Medication NOTE: This sample PROGRAM S DECISION REGARDING MEDICATION plan meets and in many cases exceeds the licensing requirements
More informationElectrician Application -- INSTRUCTIONS -- PLEASE READ CAREFULLY
Phone:(401)462-8580 Fax: (401)462-8528 www.dlt.ri.gov/profregs Electrician Application -- INSTRUCTIONS -- PLEASE READ CAREFULLY Applications that are incomplete or missing required documents will not be
More informationPlease note that the print size cannot be smaller than the text in the document.
Clarification for Civil Rights Non-Discrimination Statement There have been several questions about using the short version of the USDA nondiscrimination statement on NSLP and SBP menus. It is acceptable
More informationGalway Chronicle. Volume 5, Issue 10 January 9, 2015
Galway Chronicle Volume 5, Issue 10 January 9, 2015 Dorothea Fuller, Principal Nichola Wallen, Assistant Principal Our Vision: Galway Elementary School will empower students to be valued, productive members
More informationWELCOME Local School Council. MAY 2015 Mrs. Martha Irizarry, Principal
WELCOME Local School Council MAY 2015 Mrs. Martha Irizarry, Principal LSC Agenda MAY 2015 Call to Order Roll Call/Establish Quorum Approval of Minutes from Previous Meetings Announcements/Introductions
More informationRegistration Requirements
Registration Requirements You Will Need the Following for Registering: *Completed Enrollment packet for each student enrolling (Includes In-District Transfers)* 1. Parents/Guardians must be present and
More informationThe named boxes in Spanish of the form are included in italics inside parentheses. MINISTERIO DE ECONOMÍA Y COMPETITIVIDAD
SECRETARÍA DE ESTADO DE COMERCIO DIRECCIÓN GENERAL DE COMERCIO E INVERSIONES S. G. DE COMERCIO INTERNACIONAL DE SERVICIOS E INVERSIONES This is a translation, from Spanish, of instructions for filling
More information