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Ayer Shirley Regional School District

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District

ASRSD Health Forms

Allergy and Anaphylaxis Emergency Plan Form

AAP_Allergy_and_Anaphylaxis_Emergency_Plan.pdf 202.86 KB (Last Modified on May 25, 2022)

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Asthma Action Plan Form

MA Asthma Action Plan.pdf 126.14 KB (Last Modified on May 25, 2022)

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Authorization to Release/Obtain Records

Authorization to Release_Obtain Health Records .pdf 60.14 KB (Last Modified on May 25, 2022)

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Hand Sanitizer Declination Form

Hand Sanitizer Declination Form.pdf 42.77 KB (Last Modified on May 25, 2022)

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Health and Emergency Form - English

Health and Emergency Info Form.1122.pdf 89.97 KB (Last Modified on November 9, 2022)

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Health and Emergency Form - Portuguese

Portuguese - Health and Emergency Info Form.1122.pdf 90.87 KB (Last Modified on November 9, 2022)

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Health and Emergency Form - Spanish

Spanish - Health and Emergency Info Form.1122.pdf 90.2 KB (Last Modified on November 9, 2022)

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