Request to Speak with Your School Nurse!

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I am still your school nurse. Although we are at home, you can still ask me questions. I look forward to hearing from you!

First AND Last Name *

Student ID Number (if available)

What do you wish to speak with your nurse about? *

I have a question about my health

I got injured

I am feeling ill and need guidance about what to do

I am having a hard time coping at home

I'm worried about a friend or family member

My parent or guardian would like to speak with you

Other:

What specifically do you want to talk about? *

Best Way to Contact You (please provide your preferred communication i.e. email address, phone number) *

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