Annual Health Check In (2025-2026)
Please complete the brief questionnaire below to help your PCS Nurses best serve your children's medical needs for the upcoming school year. 
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Please enter your child's first and last name below.  *
Please enter the grade your child will be in for the 2025-2026 school year.  *
If your phone number or email has changed please indicate the change below so your child's profile can be updated. 
For non urgent matters please select the best way to contact you.  *
Select all that apply: Has your child received any new medical diagnoses over the past school year?
If you selected "other", please specify:
Select all that apply: Has your child been prescribed any new medications over the past school year?
Please specify any new medications started, including their strength and the frequency of your child taking. 
Has your child developed any new food or drug allergies? If yes, please specify. 
If deemed appropriate by the assessment of the School Nurse is it ok to give your child over the counter medication while at school? 

The over the counter medications that are stocked are Orajel, Skintegrity wound cleanser, TUMS, Artificial Tears, Benadryl, Zyrtec, Zaditor antihistamine eye drops, Tylenol, Ibuprofen, Cough Drops, Triple Antibiotic Ointment, Sting Relief, Hydrocortisone, Midol, Cough Drops, Vapor Rub, Cough syrup, and Vaseline. 
*
Please type your first and last name below, this will be used as your electronic signature.  *
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