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PARENTS
STUDENTS
NURSES

PVUSD Health Services
3602 E. Cholla, Room 31
Phoenix, AZ 85028
(602) 449-2680
(602) 449-2685 fax

Forms

Medication form - must be completed, signed and on file if your student is taking medications at school.

Food Allergy Medical Statement - completed by the parent and family physician, it gives the school nurse more information to help keep the student with food allergies safe at school.

Student Allergy Information- completed by the parent to alert the school to the severity or symptoms and care required for students with severe allergic reactions

Student Asthma Information (Eng)

Student Asthma Information (Spa)

Student Diabetes Information (Eng) - completed by the parent to alert the school of care required for students with diabetes

Student Diabetes Information (Spa)

Student Seizure Information - completed by the parent to alert the school of care required for students with seizure disorders