Microsoft word - emergmed.doc

Emergency Care and Medication Form 2007-2008
Grace Church SchoolAttention: School Nurse86 Fourth AvenueNew York, NY 10003 To be completed by Parent or Guardian:
Child’s Name_____________________________Grade__________Date of Birth____________ Cell#______________________________________________ Person to contact if unable to reach parents: I give my permission for the school’s nurse or designated employee to administer first aid if such is needed.
In the event that I cannot be reached and emergency hospital care/treatment is needed, I give my permissionfor my child to be taken to the nearest hospital and given the necessary emergency care.
Signature of Parent/Guardian: ________________________________Date__________________ Insurance Provider______________________________________________________________ Medication Permission
*Signature of Physician and Parent/Guardian required for all medications. Please indicate below which
medications may be administered by the School Nurse or designated employee.

Acetaminophen (Tylenol) 240/650mg PRN for pain_________ Benadryl 12.5/25 mg. PRN/Allergic reactions_____Ibuprofen( Motrin) 200/400 mg PRN for pain_______ Other Medications________________________________________________________________ Allergies_______________________________________________________________________
Allergy Medication and Protocol_____________________________________________________ _______________________________________________________________________________ EPI PEN will be kept at school or on student____________________________________________
*Medication as indicated by parents may be administered*I have examined this student and have found his/her physical exam within normal limits.
He/she is physically fit to participate in Physical Education and/or sports.
PHYSICIAN SIGNATURE_____________________________________ PARENT’S SIGNATURE________________________________________________________ PHYSICAL EXAMINATION FOR 2007-2008 SCHOOL YEAR
O.S.________: Hearing:Rt_______Left___________ Family History_________________________________________________________________ _____________________________________________________________________________ Significant Past Illness, Injuries, Operations__________________________________________ _____________________________________________________________________________ Nutritional Evaluation____________________________________________________________ Developmental Assessment________________________________________________________ Current Medical Problems_________________________________________________________ Allergies (food, drug, environmental)________________________________________________ Immunizations during Past Year____________________________________________________ (Required for new students in Jr.K.through Gr.8) (Required for new students in Jr.K and K; (If limited, please explain___________________ _________________________________________________________________________________ Signature of Examining Physician____________________________________


Gehirndoping für mediziner und schüler/studenten

Studium generale: Projekt © Herausgeber: Prof. Dr. med. Bernd Fischer Gehirndoping für alle? Gehirndoping für alle? In Kooperation mit Memory-Liga Zell a. H., Verband der Gehirntrainer Deutschlands VGD®, Wissiomed®-Akademie Die Unterlagen dürfen in unveränderter Form unter Angabe des Herausgebers in nicht kommerzieller Weise verwendet werden! Wir sind dankbar für Veränderungsv

Les poux.qxd

Le rythme normal d’évacuation des selles La constipation varie beaucoup d’un individu à l’autre :il peut aller de trois fois par jour à troisfois par semaine. Les médecins estimentdonc qu’il y a constipation quand il y amoins de trois selles par semaine maiscela ne correspond pas toujours à ce queressentent les patients. La constipation Quels sont les symptômes est trois f

Copyright © 2008-2018 All About Drugs