Cape Henlopen School District

School Nurse Forms

2021-22 DE Sports Physical Form Packet

DIAA 2021-22 Preparticipation Physical Form Packet final.pdf 1.94 MB (Last Modified on September 7, 2021)

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PreK-Grade 6 DE Student Health Form

DEStudentHealthFormChildrenNovember2016.pdf 454.19 KB (Last Modified on August 5, 2020)

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Grades 7-12 DE Student Health Form

DEStudentHealthFormAdolescentNovember2016.pdf 352.49 KB (Last Modified on August 5, 2020)

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Allergy Action Plan

ALLERGY_ACTION_PLAN.pdf 92.16 KB (Last Modified on August 5, 2020)

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Asthma Action Plan - English

asthma-action-plan.pdf 101.3 KB (Last Modified on August 5, 2020)

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Asthma Action Plan - Spanish

asthma-action-plan-spanish.pdf 211.53 KB (Last Modified on August 5, 2020)

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Field Trip Emergency Treatment Card

Field_Trip_Emergency_Treatment_Card.PDF 47.22 KB (Last Modified on August 5, 2020)

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Medication Permission - Spanish

2020-2021 Medication Permission Slip with Field Trip Option_Spanish_interactive.pdf 684.56 KB (Last Modified on August 5, 2020)

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Medication Permission - English

2020-2021 Medication Permission Slip with Field Trip Option_English_Interactive.pdf 679.46 KB (Last Modified on August 5, 2020)

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Food Allergy Prevention

Food Allergy Prevention and Emergency Response for Students with Allergies.pdf 181.53 KB (Last Modified on August 5, 2020)

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School Nurse Resources

CHSD Student Accident Application

Cape Henlopen School District App 2020.pdf 277.12 KB (Last Modified on August 5, 2020)

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Head Lice 101

Head_Lice_101.pdf 5.08 MB (Last Modified on August 5, 2020)

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Medication Drop-Off Sites

Delaware updated drop off sites for medications.pdf 1.22 MB (Last Modified on August 5, 2020)

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Student Voluntary Insurance Brochure

AG_Voluntary Insurance Delaware.pdf 813.13 KB (Last Modified on August 5, 2020)

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The Cape Henlopen School District is an equal opportunity employer and does not discriminate on the basis of race, color, creed, religion, gender (including pregnancy, childbirth and related medical conditions), national origin, citizenship or ancestry, age, disability, marital status, veteran status, genetic information, sexual orientation, or gender identity, against victims of domestic violence, sexual offenses, or stalking, or upon any other categories protected by federal, state, or local law. Ned Gladfelter, Employee/Student Compliance Officer: OCR/Title IX/504 Office of Human Resources; LouAnn Hudson, Student 504 Compliance Officer, 1270 Kings Highway, Lewes, DE 19958. Delaware Department of Justice Ombudsperson, Joe Flynn 1-800-220-5414

Cape Henlopen School District