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Palisades Middle School

Palisades Middle School

4710 Durham Road, Kintnersville, PA 18930
Phone 610-847-5131 Ext. 1 | Fax 610-847-2691
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  • Home
  • News
    • What's New
  • Our School
    • Administration
    • Bell Schedule
    • Curriculum by Department/Grade
    • Directions
    • Facilities Use
    • Health Services/School Nurse
    • History
    • How to Reach Us
    • Palisades Cyber Academy
    • Palisades Patch
    • Wellness
    • Upper Bucks County Technical School
  • Teams
  • Activities
    • Athletics
    • Clubs
  • For Parents & Students
    • Bullying Policy
    • Bullying/Harassment Report
    • Canvas
    • Chromebook Support-One to One Program
    • Clever
    • Cyber Resources
    • FAQ for PALMS Parents
    • Food Services
    • Forms
    • Health Services/School Nurse
    • Library
    • Mental Health & Well-being
    • PALMS PTO
    • Parent Portal for PowerSchool
    • PSSA Testing Information
    • Pupil Services
    • Safe2Say Something PA
    • School Counselor
    • Schoolwide Positive Behavior Program
    • Student Accident Insurance
    • Student Support Team/SAP
    • Student/Parent Handbook
    • Summer Learning Opportunities for Students
    • Technology
    • Transportation Services
    • Volunteer Service Experience
    • Palisades Activities and Clubs
  • For Staff
  • Teacher Directory
  • Survey: Is it bullying?
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Palisades Middle School » Our School » Health Services/School Nurse » Health Forms

Health Forms

Asthma Action Plan
Concussion Instruction Sheet
Dental Exam Letter
EpiPen Opt-Out Form

Food Allergy Action Plan
Kindergarten Immunization Letter
Medical Emergency Form
Medication Administration Consent Form
Medication Exception for EpiPen and Inhaler
Medication Procedures Letter

Physical Exam Form
Physical Exam Letter

Private Dental Exam
Seizure Action Plan
Severe Allergy Non-Food Action Plan
Sunscreen Student Form
Sunscreen Parent Guardian Form
Vaccine Exemption Card

Palisades Middle School

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The Palisades School District is committed to providing a website that is accessible to the widest possible audience, regardless of technology or ability. We strive to conform to the Web Content Accessibility Guidelines (WCAG) 2.1 Level AA. We are continuously working to improve the accessibility of our website. If you encounter any barriers or have any feedback, please contact Diana Santoro, Community Relations, at [email protected] or call at 610-847-5131 extension 2401.
4710 Durham Road, Kintnersville, PA 18930
Phone 610-847-5131 Ext. 1 | Fax 610-847-2691
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