SPE Nurse E-pass
In order to reduce the amount of students and reduce exposure to COVID-19, DO NOT SEND STUDENTS directly to nurse's office, please complete this form and the nurse will call for them, unless a true emergency (broken bone, seizure etc)
Email address *
Timeout (DO NOT ANSWER NURSE USE ONLY)
Time
:
Student LAST & FIRST NAME *
Student ID *
Teacher *
Grade *
Emergency (send student first then fill out E pass) *
Reason for visit: Check all that Apply *
Required
For other Non COVID-19 related visits please give brief description of problem:
Nurse Notified Parent (DO NOT ANSWER NURSE USE ONLY)
Clear selection
Results (DO NOT ANSWER NURSE USE ONLY)
Submit
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