Robert M. Beren Academy

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Health Forms

At RMBA, your child's health and safety is our highest priority.  Please review the forms below in order to help us manage your child's health in the most comprehensive way.
 
Please complete and return all applicable health forms by Wednesday August 15, 2018.
 
Lice Check:
We are instituting a new system for lice check this year. There is a mandatory sign up for lice check. Please CLICK HERE to sign up for your preferred time slot. We would like to avoid crowds of people coming at the same time and having to wait in long lines. Lice check in MANDATORY in order to start school.
 
Monday, August 20 from 9:00 AM - 1:00 PM
Tuesday, August 21 from 9:00 AM - 1:00 PM
 
Please make sure you child(ren) come with their hair down and combed through.
 
 
Health Assessment Form - Must be completed on behalf of EVERY student
 
Allergy and Anaphylaxis Emergency Care Plan - Must be completed on behalf of any student with an allergy whether life threatening or not
 
Asthma Care Plan - Must be completed on behalf of any student with Asthma
 
Diabetes Care Plan - Must be completed by any students with Diabetes (Type 1 or Type 2)
 
Inhaler or Epi Pen Self Carry Contract - Must be completed by any Middle or Upper School Student who needs to have an Epi Pen or Inhaler with them while on campus
 
Administration of Prescription or Over the Counter Medication on Campus Form - Must be completed on behalf of any student who requires medication during school hours other than Tylenol, Advil, Benadryl or Tums
 
Individualized Healthcare Plan for student with ADD/ADHDMust be completed on behalf of any student diagnosed with ADD/ADHD