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Health Checks

 

NURSE CHECKS


 

Dear Parents
 

     The school nurse will provide health services throughout the school year.  Her first check will be the week of October 27th-29th. We ask that you return this letter before October 23rd.  If we do not receive it by that date, we will assume that you will answer “yes” to all.

** Health Checks are only done for grades: Preschool-4th, 7th Grade, and 10th Grade**

 

We are sending home a copy of this letter with your students please be on the lookout for it.


 

_____ NO I do not want my child to be checked for height and weight

_____YES I want my child to be checked for height and weight

 

_____ NO I do not want my child’s teeth and mouth check

_____YES I want my child’s teeth and mouth checked

 

_____ NO I do not want my child checked for high blood pressure

_____YES I want my child checked for high blood pressure

 

_____ NO I do not want my child’s vision and/or color vision checked

_____YES I want my child’s vision and/or color vision checked

 

_____ NO I do not want my child’s hearing tested

_____YES I want my child’s hearing tested





 

CHILD’S NAME _________________________________

 

GRADE ______________

 

PARENT’S SIGNATURE __________________________

 

DATE __________________________________________

 

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Stapleton Public Schools702 6th StreetPO Box 128Stapleton, NE  69163

p. 308-636-2252f. 308-636-2618

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This institution is an equal opportunity provider.

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