RANTOUL TOWNSHIP HIGH SCHOOL DIST. 193
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Picture

April Jones, School Nurse

Room: Nurse's Office, 1st Floor East Wing

Phone: (217) 892-6123
​
Email: apriljones@rths193.org

Nurse's Statement

The school nurse serves in a role that bridges health care and education.  The school nurse provides direct nursing services to keep student/staff healthy, safe, in school, and ready to learn.  All duties are performed in accordance with district/state board of education policies and procedures, and state laws regarding Illinois nurse practice act.
 

Documents and Forms

School Registration Documents
​

9th grade health requirements for 2020-2021 (English)

9th grade health requirements for 2020-2021 (Spanish)
12th grade Health Requirements for 2020-2021 (English)

12th grade Health Requirements for 2020-2021 (Spanish)
Allergy Health History 2020-2021 ​(Spanish and English)
Emergency Form 2020 - 2021 ​(Spanish and English)
Dental Examination Form 2020-2021 ​(Spanish and English)
Eye Exam Report (1st Time Enrolling in an Illinois School Only)
Eye Exam Waiver (1st Time Enrolling in an Illinois School Only)

Physicals and Immunizations

2019-2020 Health Requirements for all grades at RTHS
2020 Physical form (9th graders and New to District students)
IDPH Immunization Schedule for Fall 2020

Release Form

Release Form (Communication with Student MD's) (Spanish and English)

Medication At School

Prescription and Non-Prescription Medication Authorization form

Asthma Forms

Asthma Parent Guidelines for RTHS​ (Spanish and English)
Asthma Guidelines for RTHS (Spanish and English)
Asthma Action Plan
Self-Administration of Medication (Spanish and English)
Self Administration of Medication Form (Spanish and English)
Release Form

Food Allergies

Food Allergy Letter to Parents (English)
Food Allergy Letter to Parents (Spanish)
Food Allergy Action Plan (English)
Food Allergy Action Plan (Spanish)
Self-Administration of Medication (Spanish and English)
​Self Administration of Medication Form (Spanish and English)
​Release Form
Doctor Food substitution request form
Severe Allergy Emergency Action Plan/IHP (English)
Severe Allergy Emergency Action Plan/IHP (Spanish)
​Release of medical information consent

Seizures

Parent Letter (English)
Parent Letter (Spanish)
Epilepsy Seizure Action Plan
Questionnaire
​Release Form

Diabetes

Diabetes Care Aid Release (English)
​Diabetes Care Aid Release (Spanish)
Glucagon Authorization Form (English)
​Glucagon Authorization Form (Spanish)
​Release Form
Diabetes Medical Management Plan
Self-Administration of Medication (Spanish and English)
​Self Administration of Medication Form (Spanish and English)

Religious Exemption Forms

Religious Exemption Forms
Notice:  Please contact the Rantoul Township High School nurse with any questions, comments, or concerns about the forms listed on this page.
Rantoul Township High School
​200 S. Sheldon, Rantoul, IL 61866
Phone: (217) 892-2151   Fax: (217) 892-4442
  • Home
    • The "411"
    • Alumni News
    • Breakfast/Lunch Menus
    • Calendar
    • Daily Announcements
    • District Budget
    • Eagle Academy
    • Employment Opportunities
    • Freedom of Information Act
    • School Report Card
    • Transcripts
  • Administration
    • Board of Education
    • RTHS Administration Team
    • School Resource Officer
  • Academics
    • Counseling Department >
      • College Planning Resources
    • Course Catalog
    • Departments/Teams >
      • Agriculture
      • Art
      • Band/Chorus
      • Business
      • English
      • Family/Consumer Science
      • Mathematics
      • Physical Education
      • Science
      • Social Science
      • Spanish
      • Special Education
      • Tech and Engineering >
        • Industrial Tech
    • Library/Media Center
    • Standards Based Grading
  • Athletics
    • Athletics 2000
    • Booster Club
    • Coaches Login - Athletics 2000
    • Consent Form
    • Hall of Fame
    • Injury Report
  • For Parents
    • Commencement 2020
    • Illinois Report Card
    • Parent Tech Info
    • RTHS Feeder Schools >
      • Gifford Grade School
      • Rantoul City Schools
      • St. Malachy Catholic School
      • Thomosboro Grade School
    • RTHS Gear Shop
    • School Nurse
    • Skyward - Parent
    • Staffulty Contact Info
    • Student Handbook
    • Student Handbook - Spanish Version
    • Title 1 Information
    • Translate website to Spanish
  • For Staff
    • After School Transportation Request
    • Eagle Tech Corner
    • Evaluation Resources
    • Forms
    • Google Classroom
    • Google Mail
    • MAP Testing >
      • 2015 MAP Norms
    • PARCC Access Next
    • Power IEP
    • RTHS Gear Shop
    • Shared Resources for Remote Learning
    • Skyward - Financial
    • Skyward - Teacher
    • Staffulty Contact Info
    • Student/Staffulty Spotlight
    • Teacher Handbook
    • Traversa
  • For Students
    • ACT Student
    • Xello
    • Email
    • Internet Access Survey
    • Google Classroom
    • Google Drive
    • RTHS Gear Shop
    • Skyward - Student
    • Social Services >
      • Eating Disorders - Mirror Mirror
      • LGBTQ - The Trevor Project
      • Mental Health - Karla Smith Foundation
      • Substance Abuse Help - NIDA
      • Suicide Prevention Lifeline
      • Women's Health - Our Bodies Ourselves
    • Sora eBook Checkout
    • Staffulty Contact Info
    • Student Handbook
    • Student Handbook - Spanish Version
    • Student of the Month
    • Student Organizations
    • Student/Staffulty Spotlight
  • COVID_19