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County Road and Luther Lee Emerson Schools
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Acosta, Elvia
Bajdechi, Gabriela
Calegari, Suzanne
Calinda, Lisa
Conti, Corinne
Desmond, Maureen
DiMartini, Bridget
Epiphaniou, Dawn
Erol, Kristen
Feifer, Allison
Gonzales, Walter
Greenberg, Michelle
Guirguis, Janet
Heffler, Wendy
Lefer, Andrew
Lew, Sunny
Magnifico, Lauren
Main, Michael
Martinez, Rocio
Mliczek, Nancy
Mohanram, Hyewon
Moran, Audrey
Murphy, Toby
Polvere, Joseph
Porto, Alison
Quillen, Carl
Regan, Jonathon
Reynolds, Christine
Rohn, Regina
Ross, Caitlin
Scheuring, Danielle
Schoepflin, Jessica
Sydoruk, Paige
Urban, Heather
Werner, Joanne
Zemba, John
Zimmerman, Victoria
Zuidervliet, Stephanie
DiMartini, Bridget
McDermott, Karleen
Rinckhoff, Sherri
Worgul, Julie
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Demarest Middle School
Medical Forms
Medical Forms
Demarest Middle School
6th Grade Vaccinations
6th grade vaccine letter 1 2019.pdf
41.56 KB
(Last Modified on October 15, 2019)
Comments (-1)
90 Day Health History Update
HealthHistoryUpdatedQuestionnaire 2022.pdf
135.66 KB
(Last Modified on September 29, 2022)
Comments (-1)
Allergy Treatment Order
md emergency allergy treatment 618 .pdf
98.08 KB
(Last Modified on June 19, 2018)
Comments (-1)
Asthma Treatment Plan Updated 2017
Asthma-Treatment-Plan-MAY-2017.pdf
1.41 MB
(Last Modified on June 5, 2017)
Comments (-1)
Cardiac Brochure
Information on sudden cardiac death
cardiac.pdf
1.80 MB
(Last Modified on June 19, 2015)
Comments (-1)
Concussion Fact Sheet and Sign Off
Sports.pdf
93.57 KB
(Last Modified on May 1, 2014)
Comments (-1)
Diabetic Management
To be completed by child's diabetes care team before the beginning of each school year if your child has diabetes.
Diabetes Management Individual Plan 2011.pdf
448.97 KB
(Last Modified on October 24, 2013)
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Immunization Requirements
Immunization Letter.pdf
98.50 KB
(Last Modified on January 23, 2017)
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Medication Form
Administration_of_Medication .pdf
49.18 KB
(Last Modified on October 27, 2016)
Comments (-1)
Opioid Fact Sheet
Opiod Use and Misuse Fact Sheet.pdf
3.89 MB
(Last Modified on June 6, 2018)
Comments (-1)
Opioid Fact Sign off Sheet
Opioid Fact Sheet Sign Off.pdf
35.55 KB
(Last Modified on June 6, 2018)
Comments (-1)
Physical Form
PreParticipation Physical Evaluation Form 2015.pdf
597.5 KB
(Last Modified on February 13, 2018)
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SCD in Young Athletes Brochure
cardiac.pdf
1.80 MB
(Last Modified on April 30, 2014)
Comments (-1)
Seizure Form 1
SEIZURE ACTION PLA.pdf
45.58 KB
(Last Modified on November 7, 2012)
Comments (-1)
Seizure Form 2
SEIZURE_QUESTIONAIRE.pdf
57.21 KB
(Last Modified on November 7, 2012)
Comments (-1)
Sports Related Eye Injury
Sports Related Eye Injury.pdf
1.28 MB
(Last Modified on June 19, 2015)
Comments (-1)
Sudden Cardiac Death Sign Off Sheet
SuddenCardiacDeathPamphletSignOffSheet.pdf
18.03 KB
(Last Modified on June 19, 2015)
Comments (-1)
Vaccination History
DMS_Vaccines.pdf
35.79 KB
(Last Modified on October 27, 2016)
Comments (-1)
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