Student Health Services

Contact List

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IMMUNIZATION EXEMPTION FORMS

ADA_School_Religious_Immunization_Exemption_Form.pdf
ADA_School_Medical_Immunization_Exemption_Form.pdf
ADA_School_Religious_Immunization_Exemption_Form_SPANISH[1].pdf
ADA_School_Medical_Immunization_Exemption_Form_SPANISH[1].pdf

Health Forms

Documents

asthma action plan emergency plan for inhaled medication (1).pdf
otc med inschool permission form.pdf
Diabetes Medical Management Plan.pdf
Consent and Request for Prescription medication during school.pdf
AAP_Allergy_and_Anaphylaxis_Emergency_Plan.pdf

The White Pine County School District does not discriminate on the basis of race, color, religion, national origin, ancestry, disability, age, marital status, sex, sexual orientation, gender identity or expression, or any other category protected by applicable state or federal law in its program and activity, including employment.

1135 Avenue C
Ely, NV 89301
PH: 775-289-4851
FX: 775-289-3999