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Kenneth N. Butz Jr. Elementary School

Respectful, Responsible, and Ready to Learn

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    • Kenneth N. Butz Jr. Elementary School
    • Medical Forms

    Nurse's Office

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    • The following forms can be printed and brought to your child's dentist/doctor if needed. 

      • Allergy Action Plan
      • Asthma Action Plan
      • Authorization to Release/Furnish Information Form
      • Diabetic Plan of Care
      • Dietary Restriction Form
      • Hypo & Hyperglycemia Symptom Sheet
      • Nut-Free Table Option for Lunchtime Form
      • Private Dental Exam Form
      • Private Physician Physical Form
      • Seizure Plan of Care
      • Student Health Information Update Form
      • Kindergarten Student Health Information Packet

    960 Bushkill Center Road, Nazareth, PA 18064

    Phone: 610-759-1118

    Fax: 610-759-0454

    Email: skocher@nazarethasd.org

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    The mission of the NASD, a catalyst for excellence in education, is to develop students through rigorous educational and co-curricular programs into critical, reflective thinkers with the knowledge and skills to communicate effectively, to integrate technology for learning, and to contribute to an ever-changing, diverse community.
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