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Whitehall-Coplay Middle School

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Health Forms

Asthma: If your student has asthma, please have their provider complete the forms in the Asthma Packet each year before the start of school.

Dental Form

Diabetes: If your student has diabetes, please have their provider complete the forms in the Diabetes Packet each year before the start of school. 

Head Lice Information

Medication Policy and Form - please have this filled out by a provider if your student requires any medications during school hours. Parent or guardian must also sign the bottom and bring in the medication to be administered. 

Physical Examination Form

Seizures: If your student has a seizure disorder, please have their provider complete the forms in the Seizure Packet each year before the start of school. 

Specific Condition Packet

Health Forms

Asthma Packet

Dental Form

Diabetes Packet

Head Lice

Medication Policy and Medication Form

Physical Exam Form

Seizure Packet

Severe Allergy Packet

Specific Condition Packet