Request to See a Nurse 2021-2022
Please fill this out and the nurse will call you to office when appropriate. See your instructor if you feel very ill or are displaying COVID symptoms.
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Email *
Last Name *
First Name *
Program (If STEM Write STEM) *
What teacher are you with right now? *
What Room Number? *
What Class do you have next? *
Write your main reason for your request to see the nurse. *
A copy of your responses will be emailed to the address you provided.
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