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Medical Forms

Wilburn

Mandy Wilburn, RN, BSN, NCSN  
mandy.wilburn@cleveland.k12.ms.us

McCain

Karen McClain, RN, BSN 
Kmcclain@cleveland.k12.ms.us 

Johnston

Molly Carol Johnston, RN, BSN, NCSN      
Mjohnston@cleveland.k12.ms.us   

  • Notice 

The school nurse's office is not a primary care facility.
The nurse by law is not allowed to make a diagnosis, prescribe treatment, or administer medication without a doctor's order. First aid and medical care provided by the school nurse are primarily for illnesses or injuries that occur during the school day.
Notify your school nurse immediately if your child has a special health concern.

 

  • Medications
      • Parents are encouraged to schedule medications and/or medical treatments during non-school hours.
      • All medication must be brought into school by a parent or legal guardian.
      • All medication (prescription and non-prescription) requires a completed Medication Permission Form.
      • Medication must be in a bottle properly labeled by a pharmacist or for over-the-counter medication in an unopened sealed bottle with your child's name clearly written on the container.
      •  
      • When Should I Stay Home?
      • Coronavirus Update:  https://msdh.ms.gov/msdhsite/_static/resources/14025.pdf
      • Click the links above for helpful information.


        Nurse Forms and Information-Click on the links below

 

Allergy Action Plan
 Allergy Action Plan
Asthma Action Plan
 Asthma Action Plan
Cardiac careplan
 Cardiac careplan
Child Health Form
 Child Health Form
COVID-19 Ways to protect yourself and others
 COVID-19 Ways to protect yourself and others
Covid-19- What to do if you are sick with COVID-19
 Covid-19- What to do if you are sick with COVID-19
Diabetes Medical Management Plan
 Diabetes Medical Management Plan
Dietary Needs Form
 Dietary Needs Form
Flu Guide for Parents
 Flu Guide for Parents
Flu Guide for Parents (Spanish)
 Flu Guide for Parents (Spanish)
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