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Floyd R. Shafer Elementary School

Strive. Excel. Succeed.

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    • Floyd R. Shafer Elementary School
    • Medical Forms

    Nurse's Office

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    • School Nurse Office Information
    • Immunizations
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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

    49 South Liberty Street, Nazareth, PA 18064

    Phone: 610-759-5228

    Fax: 610-759-2253

    Email: mwhitman@nazarethasd.org

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