Howell High School
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Health Office

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Jeanene Healy, School Nurse
Eileen Eccleston, School Nurse
Michele Cordaro, Nurse's Office Secretary

Microsoft Word Documents:

Instructions for students who already have a valid physical form on file     

Use the following forms:

Health History Update Form

Athletic Eligibility Form (must be signed by both parent and athlete)

Instructions for students who need to obtain a physical.

Use the following forms:

Athletic Eligibility Form (must be signed by both parent and athlete)

Annual Pre-Participation Physical Exam (Part A health history questionnaire) signed by parent and viewed by physician

Annual Physical Evaluation Form (Part B to be completed by your physician)

Other forms for all students:

Permission to Administer Medication

Permission to Self Administer an Inhaler or Epi-Pen

Medication Form for Severe Allergic Reactions

Adobe Acrobat Documents:

You must have Adobe Acrobat in order to open and read these documents.  

Click here to download Adobe Acrobat.

Instructions for students who already have a valid physical form on file     

Use the following forms:

Health History Update Form

Athletic Eligibility Form (must be signed by both parent and athlete)

Instructions for students who need to obtain a physical.

Use the following forms:

Athletic Eligibility Form (must be signed by both parent and athlete)

Annual Pre-Participation Physical Exam (Part A health history questionnaire) signed by parent and viewed by physician

Annual Physical Evaluation Form (Part B to be completed by your physician)

Other forms for all students:

Permission to Administer Medication

Permission to Self Administer an Inhaler or Epi-Pen

Medication Form for Severe Allergic Reactions

 

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This page last revised
Monday, February 18, 2008 10:04:17 PM