- Pleasant Hill Elementary School
- Health and Medication Forms
Health (Nurse) Information
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Medication Forms
Over-the-counter medication only requires a parent's signature. All prescription medications require a Medical Doctor’s signature. ALL orders are only good for one school year and must be renewed each August. Medications are held in the health for the school year. If they are not picked up by the end of school they will be destroyed.
To allow your student to take medication at school complete this form Lex1 Medication Orders.
Medical History Forms
If your student has a history of seizures complete this form Seizure history letter.
If your student has a history of allergies complete this form Allergy history letter.
If your student has a history of Asthma complete this form Asthma history letter.
Contact Information
If you have any questions regarding any of these forms please contact our School Nurse, Karen Cousins (kcousins@lexington1.net), or call the Health Room at 803-821-2800. Fax: 803-821-2803.