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Pembroke Public Schools
Forms and Information
Contact your school nurse for information regarding student medical insurance.
Pembroke Medication Forms
Self Administration Medication Authorization Form 2022
Self Administration Form 2022.pdf
103.31 KB
(Last Modified on November 3, 2022)
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Medical Form for Students on Overnight Out of State Trips
Medical Form for Students on Overnight Out of State Trips.pdf
174.06 KB
(Last Modified on February 27, 2020)
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Medical Administration Plan (All Schools)
Med Adminstration plan all schools.pdf
181.51 KB
(Last Modified on February 27, 2020)
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Action Plans and Checklists
The Flu Guide For Parents
the-flu-guide-for-parents.pdf
942.62 KB
(Last Modified on October 16, 2019)
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Asthma Action Plan
Asthma Action Plan.pdf
496.23 KB
(Last Modified on January 29, 2018)
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Flu Symptom Check List
Flu-Symptom-Check-List.pdf
122.41 KB
(Last Modified on January 29, 2018)
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Food Allergy Action Plan
Food-Allergy-Action-Plan.pdf
838.72 KB
(Last Modified on January 29, 2018)
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