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Dublin Unified

School District

    • Emergency Care Plan

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      The EmergencyCare Plan will identify your child’s medical and physical needs.  The information on the form is an important source of communication to school staff and to emergency personnel, which is specific to your child. 

      Emergency Care Plan.pdf 15.68 KB (Last Modified on June 6, 2016)
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    • Student Health Information

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      Complete the Student Health Information form and submit to your child's school. Must be updated annually or whenever there is a change in information provided.

      Student Health Form.address.pdf 232.31 KB (Last Modified on June 6, 2016)
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    • Health Guidelines for Parents

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      Your child will enjoy school and be better able to learn if he/she is healthy. Please refer to the Health Guidelines for Parents notification for guidelines on when to keep your child home from school. Because many of our students are medically fragile, protecting them from illness is imperative. Please note that your child must be fever free (temperature of 100 degrees or greater) for 24 hours before retuning to school. In the event your child becomes ill while at school, please refer to the Procedure for Notifying Parents of Students' Illness.
      Health_Guidelines_for_Parents.doc 29.50 KB (Last Modified on June 8, 2011)
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    • Procedure for Notifying Parents of Students Illness

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      Procedure_for_notifying_parents_of_illness.doc 27.50 KB (Last Modified on June 8, 2011)
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    • Parent Authorization to Release Pupil Record Information

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      The Parent Authorization to Release Pupil Record Information form allows District Nurse/Special Education to communicate with your child's health care provider regarding your child's health and safety needs while at school.
      Selpa_Parent_Authorization_To_Release.pdf 66.98 KB (Last Modified on June 8, 2011)
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    • Specialized Health Care Procedure - Parent Request

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      Complete if your child requires at school a Specialized Health Care Procedure such as blood glucose monitoring, ketone testing, medication injections, gastrostomy tube management and/or feeding, nebulizer treatments, etc.
      SpecParentReqstForm.doc 30.00 KB (Last Modified on June 8, 2011)
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    • Specialized Health Care Procedure - Physician Request

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      Physician to complete if a Specialized Health Care Procedure such as blood glucose monitoring, ketone testing, medication injections, gastrostomy tube management and/or feeding, nebulizer treatments, etc. is required for your child while at school.
      SPHCS_Physicians_Request.doc 35.00 KB (Last Modified on June 8, 2011)
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    • Gastrostomy Tube Authorization Form

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      Physician to complete if Specialized Health Care Procedure for gastrostomy tube management and/or feeding is required for your child while at school. Parents to provide all completed forms, supplies, prescribed formula, and an extra gastrostomy tube replacement kit.
      GTube_Authorization_form.doc 51.50 KB (Last Modified on June 8, 2011)
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