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Ensuring all students learn and grow is our collective responsibility.
Clinic Forms
School Clinic Forms
physician and parent completed. Please send in medication and snacks for student and medication form.
physician and parent completes and send to school with medication and medication order form.
physician and parent complete and send to school with medication order and medication.
physician and parent completes and send to school with Epipen and medication order.
IF your child has an allergy and you want him to sit at a separate table to provide cross contact for peanut and nut allergies.
Ohio Department of Education School and Adolescent Health Physical Examination Form -- to be completed by your doctor
To tell how how to send medication home at end of year.
Form has Epi-pens and inhaler boxes for physicians to complete.
Doctor completes medication portion and parent sign bottom portion.
Dental Sealants

PROTECT YOUR CHILD'S TEETH FROM DECAY

We partner with the Licking County Health Department to offer a dental sealant program for our 2nd graders. An information packet will be coming home in backpacks.  Please review and return the form to school letting us know if you would like your student to participate.
 
To be completed by physician if child has a referral to be evaluated due to not passing at school.
To be completed by physician if child has a referral to be evaluated due to not passing at school.
Complete if you do not want your child to have a vision test.
please complete if you do not want your child to have a hearing screen done.
Heath City School District
107 Lancaster Drive, Heath, OH 43056
Phone: 740-238-7110 | Fax: 740-238-7053
Heath High School
300 Licking View Drive, Heath, OH  43056
Phone:  740-238-7150 | Fax:  740-238-7079
Heath Middle School
310 Licking View Dr, Heath, OH 43056
Phone: 740-238-7140 | Fax: 740-238-7072
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Heath City Schools.


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Stevenson Elementary
152 Cynthia Street, Heath, OH 43056
Phone:  740-238-7130 | Fax: 740-238-7066
Garfield Elementary School
680 South 30th Street, Heath, OH  43056
Phone:  740-238-7120 | Fax: 740-238-7060
107 Lancaster Drive, Heath, OH 43056
P: 740-238-7110

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