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SALEM COMMUNITY CHARTER SCHOOL
Department of Elementary and Secondary Education
MassONE
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High School Health
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Salem
High School
Gayle Sullivan R.N.
Ruthann Hatt R.N.
Health Requirements
Grade 9 - Interval health history &/or current physical
Health Screenings will include Vision and Hearing screenings grade 10
Scoliosis screening grade 9
Height & Weight with BMI grade 10
Forms and Policies
MIAA Sports Form
Medication Policy
Immunization Law
Sick Day Guidelines
Interval Health History
Licensed Provider Medication Form
Medication Administration Care Plan
Permission to Treat Form (English)
Permission to Treat Form (Spanish)
Physician's Physical and Immunization Form
