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Eugene School District

200 North Monroe St., Eugene, Oregon • 541-790-7700

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Home » Instructional Services » Student Services » Health Services » Health Services Resources for 4J Staff » Printable Health Services Forms

Printable Health Services Forms

Release of Information ODE June 2007

Medication Authorization Aug 2017

4J School Based Health Centers 2017

English Health History Form September 2017

Historia Medica Septiembre 2017

4J Home Instruction Referral Dec 2017

FHIP Referral 2017-18

Comm Disease Exclusion Note for Doctor 2-18

BILING INITIAL KG HEARING NOTICE 2022

BILING KG SECOND HEARING SCREENING PARENT NOTE 10.2019

Tympanogram Types for Parents

Health Services
Instructional Services

Upcoming Events

May 29 No School — Memorial Day

Jun 6 12:30 pm 1:30 pm Mental Health Board Subcommittee Meeting - Auditorium or Zoom info below

Jun 7 7:00 pm 9:00 pm 7:00 p.m. Regular Board Meeting

Jun 9 Elementary Only: No School — Grading Day

Jun 9 Last Day for Seniors
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