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Pewaukee School District

Opening the door to each child's future.

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Nursing Services

Page Navigation

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    Health Room Forms

    Medication Consent Form - For any medications your child will need to take at school.
    Asthma Care Plan

    Severe Allergy Care Plan
    Seizure Action Plan
    Diabetes Health Care Plan
    General Health Care Plan - If your child is under the care of a physician for an ongoing health concern, please fill out this form.
    Medical Procedure Consent Form - For any procedures your child will need at school, such as ostomy changes, catheterization, tube feedings, suctioning, and complex dressing changes.

     

    Immunization Information

    Immunization Requirements
    Student Immunization Record

     

  • Kindergarten Physician Report

    Kindergarten Physician Report

    Please have your physician fill this form out for your kindergartener.

    kinderphysicianreport.pdf 168.3 KB (Last Modified on November 30, 2018)
    Comments (-1)
  • Preschool - Kindergarten Dental Form

    Preschool - Kindergarten Dental Form

    Please have your dentist fill this form out.

    preschl_K_dental.pdf 117.69 KB (Last Modified on November 30, 2018)
    Comments (-1)

Pewaukee School District

Opening the door to each child's future.

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404 Lake Street Pewaukee, WI 53072 262-691-2100 Fax: 262-691-1052

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