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Pride and Excellence

300 W. Van Buren St.
Wyoming, IL 61491
Phone: 309-695-6123 | Fax: 309-695-3062

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Stark County CUSD 100 Health Services Forms and Information

Forms and Information

2024-25 Health Requirements
Asthma Action Plan
Dental Exam Form
Dental Exam Waiver Form
Diabetes Medical Management Plan
Eye Exam Form
Eye Exam Waiver
Food Allergy Action Plan
Food Substitution Form
General Allergy Action Plan
IHSA Concussion Sheet & Substance Policy
IDPH School Physical Form
Medication Authorization Form
Orland Park Free Dental Clinic Form
Religious Exemption Form-Immunizations
Seizure Action Plan
Seizure Parent Questionaire
Sports Physical

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