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USD 322
Student Health Page
Sierra Valburg - USD 322 Registered Nurse
Office Hours 7:30am - 11:30 am (During School Days)
Phone 785.889.4018 Fax 785.889.4662
Email nurse@usd322.org
Annual Forms for the School Nurse
Health History Form
School Physical (general or sports)
Immunization Records (if not on Webiz)
Hearing-Vision-Dental Screening Results (if completed outside of school)
Medication Forms (this includes both over the counter and prescription)
Emergency Action Plans (as applicable)
Student Health Forms
Annual Health History Form
(click here)
Dental Screening Form
(click here)
General Student Physical Form
(click here)
KSHSAA Sports Physical Form
(click here)
Vaccination Religious Exemption Form
(click here)
Vaccination Medical Exemption Form
(click here)
Medication Forms
Grade School
Permission for self medication administration
(click here)
Grade School
Permission for staff medication administration
(click here)
High School
Permission for self medication administration
(click here)
High School
Permission for staff medication administration
(click here)
Emergency Action Plans
Asthma Action Plan
for Home & School
(click here)
Allergy & Anaphylaxis
Emergency Action Plan
(click here)
Seizure Action Plan
Medical Management of
Diabetes in School
(click here)
Diabetes - Hyperglycemia
High Blood Sugar
(click here)
Diabetes - Hypoglycemia
Low Blood Sugar
(click here)
Current COVID Guidelines