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Lake Station Community Schools

Where the Knowledge of Tomorrow is Taught Today

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  • Lake Station Community Schools
  • Optional Health Forms

  • Optional Health Forms


     
    • Over the Counter Medication Forms - to be completed by Guardian

    • Prescription Medication Forms - to be completed by physician and Guardian

    • Emergency Medication Form - to be completed by physician for medications used for Asthma, Allergies, Seizures, etc. 

    • Physician Certification to Authorize Student Self Administration of Emergency Treatment at School  - to be filled out by Physician

    • Consent to Release Information


    • Click Here for Information about School Action Plans for chronic illnesses or allergies.

     

    Questions? Please email the LSCS District Nurse - Jennifer Pavlinac RN, BSN at jpavlinac@lakes.k12.in.us

     

     
     
     
     
     

2500 Pike Street, Lake Station, IN 46405

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We are an equal opportunity employer and educator who full and actively supports equal access for all people regardless of race, color, religion, gender, age, national origin or disability.
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