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Download selected

Medical Forms & Info

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pdf 2020 - 2021 Immunization Requirements ( pdf, 43 KB )
pdf Asthma Plan of Care Form ( pdf, 108 KB )
pdf Authorization for Medication/Treatment and Physician Statement Form ( pdf, 79 KB )
pdf Cardiac Action Plan ( pdf, 61 KB )
pdf Dental Form ( pdf, 162 KB )
pdf Emergency Medical Authorization Permit ( pdf, 44 KB )
pdf Food Allergy and Anaphylaxis Emergency Care Plan ( pdf, 614 KB )
pdf Health Care / Emergency Plan ( pdf, 60 KB )
pdf HPV Letter ( pdf, 54 KB )
pdf Kindergarten/6th Grade Physical Form ( pdf, 8 KB )
pdf Medication Administration Form ( pdf, 59 KB )
pdf Medication Rules ( pdf, 153 KB )
pdf Non-Prescription, Over-the-Counter Form ( pdf, 71 KB )
pdf Seizure Action Plan Form ( pdf, 60 KB )
pdf Sports Physical Form ( pdf, 1.18 MB )
pdf Student Health History ( pdf, 52 KB )
pdf Tylenol Form ( pdf, 94 KB )
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South Spencer School Corporation

321 South 5th Street, Rockport, IN 47635
Tel: 812-649-2591
Fax: 812-649-4249
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  • Our Schools
    • South Spencer High School
    • South Spencer Middle School
    • Luce Elementary
    • Rockport Elementary
  • Covid 19 Information
    • True Blue
    • Student/Staff Return to School
    • 2020 Covid Plan
    • Home Covid Screening
    • Elementary ReEntry Video
    • SSMS ReEntry Info
    • SSHS ReEntry Info
    • Internet-WiFi Locations
    • Public Library Hours
  • District
    • Superintendent’s Message
    • Board
      • School Board
      • Board Minutes
      • Neola Policy
      • Board Login
    • Services
      • Food Service
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      • Maintenance
      • Technology
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        • Medical Forms & Info
  • Parents
    • Harmony Family Access
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    • Parent Documents and Forms
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    • 2020-2021 Calendar
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  • Information
    • South Spencer Scholarship Foundation
    • District Data
    • Alumni Page
    • Contract Information
    • 2021 CPF Plan
    • 2021 Bus Replacement Plan
    • Continuous Learning Plan