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Rockdale School District 84 Raising Achievement, Mastering Success

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HEALTH FORMS

Physical Exam/Immunization Form
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Dental Examination Form (Spanish)
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Administration of Medication at School Form
Self-Carry Form
Asthma Action Plan
Physician Statement for Food Substitution
Religious Exemption Form
Dental Examination Waiver (English)
Dental Examination Waiver (Spanish)
Eye Examination Waiver

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Rockdale School District 84
715 Meadow Ave
Rockdale, IL 60436
Phone: (815) 725-5321

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