Quick Links to Health Clinic Forms

Virginia School Entrance Health Form   http://www.doe.virginia.gov/support/health_medical/school_entrance_form/school_entrance_form.pdf

Epinephrine Administration Form:

http://www.arlingtondiocese.org/catholicschools/documents/f4.doc

Allergy Action Plan: http://www.arlingtondiocese.org/catholicschools/documents/appendix4a.doc

Antihistamine Authorization:

http://www.arlingtondiocese.org/catholicschools/documents/appendix4b.doc

Asthma Action Plan:

http://arlingtondiocese.org/catholicschools/documents/asthmaactionplan.pdf

Inhaler Authorization Form:

http://arlingtondiocese.org/catholicschools/documents/inhalerauthorizationform.pdf

Medication Authorization Form: http://arlingtondiocese.org/catholicschools/documents/medical_authorization.pdf

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