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Palisades School District

Palisades School District

39 Thomas Free Drive, Kintnersville, PA 18930
Phone 610-847-5131 | Fax 610-847-8116
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    • What is a School Board?
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  • Schools
    • Durham Nockamixon Elementary School
    • Palisades High School
    • Palisades Middle School
    • Springfield Elementary School
    • Tinicum Elementary School
    • Upper Bucks County Technical School
  • Home
  • News
    • What's New
  • Departments
    • Athletics
    • Business Office
    • Curriculum
    • Facilities
    • Food Services
    • Health Services/ School Nurse
    • Human Resources
    • Student Services
    • Technology
    • Transportation Services
  • Our District
    • Administrator Directory
    • At A Glance District Calendar
    • Community School Programs
    • Comprehensive Plan
    • Directions
    • Employment Opportunities
    • ESSA District Report Card
    • Facilities Use
    • Fitness Center/Stadium Information
    • Senior Citizens Gold Card
    • New Student Registration
    • Operation Recognition for Veterans
    • Palisades Community Foundation
    • Palisades Cyber Academy (PCA)
    • Palisades Patch
    • PAYS Reports
    • PSD Newsletter
    • Right to Know
    • Safety & Security
    • Superintendent's Office
    • Tax Info
    • Title IX Information
    • Volunteering in Our Schools
    • Organizational Chart
    • PSDtv
  • For Parents & Students
    • Affidavit for Economically Disadvantaged Students
    • After-School Activities
    • Bullying Policy
    • Bullying/Harassment Report
    • Canvas
    • Chromebook One to One Program
    • Clever
    • Driver Training Form
    • Emergency Notification System
    • Free and Reduced Information
    • Health Services/ School Nurse
    • Home Education Resources
    • Homeless and Community Resources
    • Mental Health and Crisis Resources
    • My School Bucks-Online Payments
    • Parent Portal for PowerSchool
    • Safe2Say Something PA
    • School Hours and Snow Closings
    • Special Education Information
    • Student Accident Insurance
    • Student Assistance Program - SAP
  • For Staff
    • AESOP (Frontline Education)
    • Custodial Staff Information
    • Educational Staffing Solutions
    • Emergency Notification System
    • Employee Benefits and Forms (log on required)
    • Framework for Observation and Practice
    • Field Trip Request Forms
    • General Supply Bid
    • Grant Manual
    • Naviance
    • Privacy Policy
    • Responsive Classroom
    • Restorative Practices
    • Standards Aligned System
    • Student Activity Manual
    • Student Assistance Program
    • TalentEd Perform
    • TV Studio and Video Request
  • School Board
    • What is a School Board?
    • Our Board of Directors
    • Board and Committee Meeting Schedule
    • Regular Board and Committee Meeting Agendas and Minutes
    • Regular Board and Committee Meeting Recordings
    • Board Policies
    • Budget Information
  • Schools
    • Durham Nockamixon Elementary School
    • Palisades High School
    • Palisades Middle School
    • Springfield Elementary School
    • Tinicum Elementary School
    • Upper Bucks County Technical School
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Health Forms
Health Services/ School Nurse
Health Forms
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Palisades School District » For Parents & Students » Health Services/ School Nurse » Health Forms

Health Forms

Asthma Action Plan
Concussion Instruction Sheet
Dental Exam Letter
EpiPen Opt-Out Form

Food Allergy Action Plan
Kindergarten Immunization Letter
Medical Emergency Form
Medication Administration Consent Form
Medication Exception for EpiPen and Inhaler
Medication Procedures Letter

Physical Exam Form
Physical Exam Letter

Private Dental Exam
Seizure Action Plan
Severe Allergy Non-Food Action Plan
Sunscreen Student Form
Sunscreen Parent Guardian Form
Vaccine Exemption Card

Palisades School District

39 Thomas Free Drive, Kintnersville, PA 18930
Phone 610-847-5131 | Fax 610-847-8116
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