Clinic

Communicable Illness

Education

Energizing Tips

Illness/Attendance

Immunizations

Medications at School

Special Health Care Needs

The Benjamin School
11000 Ellison Wilson Rd North Palm Beach
Florida 33408
561.626.3747


Health Clinic - Emergency Forms

Lower School               Middle School               Upper School
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At the beginning of each school year, parents/guardians must complete a contact/medical concern form to be kept in the division office.  A copy then goes to the clinic for our records.  In case of an emergency or child illness we will contact you or the persons you have listed on this form.  This form is also required for all field trips your child may attend.

If there are medical concerns that school personnel need to be aware of they should be listed on this form. Confidential information that you may not want to include can be discussed with the school nurse. 

It is very important we have an emergency form for every student. If you have more than one child attending TBS, it is required to have a separate form for each child. 

You must keep this form updated!  If you or your contacts move or change phone numbers at home or work during the school year, please email the office of the school division your child attends. Lower School Office, Middle School Office or Upper School Office.


© 2006 The Benjamin School                                          Last updated 06/09/2006