Mrs. Andrea Speraw
CSN - Elementary
717-867-7620 ext 2925
asperaw@acschools.org

Mrs. Melissa Mong
LPN - Floating Nurse
717-867-7620 ext 2925
mmong@acschools.org

Health Forms must be completed every year and returned to the school nurse.

• Asthma Action Plan

• Diabetes Action Plan

• Medication Administration Consent

• Migraine Action Plan

• Physical Exam

• Private Dental Exam

• Seizure Action Plan

• Severe Allergy Action Plan

• Sunscreen Permission