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Dear Parent/Guardian:

If your child has a serious illness/medical condition please find the health forms that pertain to your child in the link below. If your child will need to take medication at school, you will need to provide a completed medication form for each medicine. You, your doctor and I will need to sign the medication form(s).

All completed forms can be brought to your child's school health office. 

If I can be of assistance, please don't hesitate to call.

Sincerely, 

Charleston CUSD#1 Nurses
217-639-5017

Health Condition Forms