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KCS Forms Database -

Want to complete the form ONLINE?
 Some forms, but not all, can be filled out online after downloading. An asterisk * beside a form number/title indicates that after the form has been downloaded to your computer, it can be completed by clicking in each field and typing into the field if desired. Please be aware that unless you are using a FULL version of Acrobat (not just the free Acrobat Reader), a form completed online can be printed, but the DATA contained in the form is not saved. Entering data is for ease of data entry and appearance. Please print and make copies of any forms you complete in this manner before quitting the form. All data is lost once the document is closed. All forms can be used in the usual manner (fill out by hand, typewriter, etc.) simply by printing the form.


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Displaying records 1 through 25 of 169 records found. (25 records displayed).
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Number/TItle Department Distributed by Availability
AD-H-300 (6/05)
Exclusion Letter (For Use By RN/LPN Only)

Health Services (594-3735) Health Services (594-3735)
AD-H-301 (10/07)
Notice to Parents - Head Lice (general head lice found in school)

Health Services (594-3735) website-duplicate at school/office site
AD-H-302 (6/09)
Head Lice Information (child has head lice)

Health Services (594-3735) website-duplicate at school/office site
AD-H-305 (1/06)
Clinic Card (5x 7)

Health Services (594-3735) Health Services (594-3735)
AD-H-306 (4/03)
Medication Record
NOTE: This form is 8.5 x 14 (legal). To print on MAC, select Page Setup (under file on the menu) paper size should be legal. On a PC select print, then properties and choose legal. OR select print, then choose paper source by .pdf TO PRINT ON 8.5 X 11, CHOOSE LETTER (instead of legal). The print size will be reduced.
Health Services (594-3735) website-duplicate at school/office site
AD-H-306 (back) (4/03)
Medication Record
NOTE: This form is 8.5 x 14 (legal). To print on MAC, select Page Setup (under file on the menu) paper size should be legal. On a PC select print, then properties and choose legal. OR select print, then choose paper source by .pdf TO PRINT ON 8.5 X 11, CHOOSE LETTER (instead of legal). The print size will be reduced.
Health Services (594-3735) website-duplicate at school/office site
AD-H-307 (5/06)
Body Fluid Exposure Protocol for Bites/Saliva

Health Services (594-3735) website-duplicate at school/office site
AD-H-309 (5/06)
Referral of Pupil to Clinic by Teacher

Health Services (594-3735) website-duplicate at school/office site
AD-H-310 (8/09)
Nursing Notes

Health Services website-duplicate at school/office site
AD-H-311 (5/08)
Diabetes Mellitus Health History

Health Services (594-3735) website-duplicate at school/office site
AD-H-313 (4/94)
Important Information About Measles, Mumps & Rubella

Health Services (594-3735) website-duplicate at school/office site
AD-H-316 (6/97)
Cumulative Health Record

Health Services (594-3735) Health Services (594-3735)
AD-H-319 (6/90)
Home Based Pregnancy Program - Student Report
NOTE: This form is 8.5 x 14 (legal). To print on MAC, select Page Setup (under file on the menu) paper size should be legal. On a PC select print, then properties and choose legal. OR select print, then choose paper source by .pdf
Health Services (594-3735) website-duplicate at school/office site
AD-H-320 (6/05)
Student Instruction - Female Clean Self Catheterization (Training Guide RN/LPN Only)

Health Services (594-3735) website-duplicate at school/office site
AD-H-321 (6/05)
Student Instruction - Male Clean Self Catheterization (Training Guide RN/LPN Only)

Health Services (594-3735) website-duplicate at school/office site
AD-H-322 (6/05)
Conjunctivitis Information

Health Services (594-3735) website-duplicate at school/office site
AD-H-323 (11/07)
Intermittent Catherization - Female/Male Procedure Guide (RN/LPN Only)

Health Services (594-3735) website-duplicate at school/office site
AD-H-324 (6/05)
Heat Related Illnesses Protocol

Health Services (594-3735) website-duplicate at school/office site
AD-H-325 (3/09)
Head Lice Guidelines

Health Services (594-3735) website-duplicate at school/office site
AD-H-326 (7/09)
Physician Form for Administration of Medication and Self Medication Administration

Health Services (594-3735) website-duplicate at school/office site
AD-H-327 (6/07)
Pinworms Information

Health Services (594-3735) website-duplicate at school/office site
AD-H-328 (2/02)
Sore Throat Information

Health Services (594-3735) website-duplicate at school/office site
AD-H-329 (9/91)
Clinic Emergency Information (4 x 6)

Health Services (594-3735) Health Services (594-3735)
AD-H-330 (7/09)
TennCare Release of Information for Individualized Education Program (IEP)

Health Services (594-3735) website-duplicate at school/office site
AD-H-331 (2/99)
Daily Log of Medication Administration

Health Services (594-3735) website-duplicate at school/office site

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