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Microsoft word - history_ms.doc

The Country School USE FOR GRADES 341 Opening Hill Rd. Madison, CT 06443 5-8 203.421.3113 Ext. 111 Health History Update Academic Year 2010-2011 Student: _____________________________________________DOB: ____________________Grade: ________________________ Pediatrician: ____________________________________________________Phone Number: ________________________________ Medical Diagnosis/Conditions: _________________________________________________________ Allergies (food, drugs, Environmental, Animals, Insects): ________________________________________ ________________________________________________________________________________ Medication(s) taken at home: daily: ___________________________________________________________ As needed: _________________________________________________________________________ Medication necessary at school: ____________________________________________________________ Annual Medical Update:Asthma:mild moderate severe exercise-induced Inhaler needed in school: Yes No Other Pertinent Information: _______________________________________ ___________________________________________________________________________________ Note: Please Inform the School Nurse promptly if there are any changes in the information provided on this medical form. Consent For Medication Grades 5-8
To be administered by the school nurse up to one hour before school dismissal  ACETAMINOPHEN (Same as TYLENOL) 320-650mg orally every 4 hours.
OR
IBUPROFEN (Same as MOTRIN or ADVIL) 1 or 2 tabs (200mg. each) orally every 6 hours.
1.General Pain/discomfort: after assessment, and up to 5 doses per school year. 2.HEADACHE: limit administration to 2 occurrences/month or 3 consecutive days 3. DENTAL PAIN: up to 4 days following dental procedure. 5. MENSTRUAL CRAMPS: limit administration to 5 days/month If it is necessary to exceed the above limitations, an order will be required from the child’s health care provider.  I grant permission for the school nurse to administer the above dosage of medication
to my child in the event of above-mentioned symptoms while at school.
Parent/Guardian Signature: _________________________________________________________Date: ______/______/20___ I request that NO medication be administered to my child
while at school.
Parent/Guardian Signature: __________________________Date: _______ Consent For Overnight Field Trip Medication
PAIN: Headache, Muscle, Menstrual, and Dental. FEVER: >101F Acetaminophen (Tylenol Brand) 325-650mg orally every 4 hours Ibuprofen (Advil. Motrin, brand) 200mg-400mg orally every 6 hours MOTION SICKNESS: Benadryl 25 mg capsule (1 capsule) orally every 4-6 hours ALLERGIC REACTION: Benadryl 50 mg (tablets-25 mg OR 4tsp-12.5mg/tsp) orally every 6-8 hr. DIARRHEA: Imodium 2mg-4mg not to exceed 16mg/day.
INDIGESTION: Tums 750mg as symptoms occur.
I grant permission for my child to receive the above dosage of medication administered by a school
faculty member in the event of above-mentioned symptoms while on an overnight field trip.

Parent/Guardian Signature: ______________________________________________________________ Date: ____/______/20_____

Source: https://www.thecountryschool.org/uploaded/photos/community/parents/forms/history_ms.pdf

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Time Management in a Connected World Making a Telephone Call 1993  Look up Number in Rolladex  Call Person Send person email that you want to call them Person sends days and times that work for them Create calendar entry in Outlook for call, including When the day and time arrives, hopefully you Why Time Management ?  Lack of time causes stress  Life satisfaction  Mon

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O cinema usado como intervenção no contexto de medicalização do social no contemporâneo Mestrando da Pós-Graduação em Psicologia da Universidade Estadual Paulista - Co-autores: Graduando em Psicologia da Universidade Estadual Paulista – Campus de Assis Graduanda em Psicologia da Universidade Estadual Paulista – Campus de Assis Graduanda em Psicologia da Universidade Esta

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