April Jones, School Nurse

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

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

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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 2019-2020

12th grade Health Requirements for 2019-2020

Allergy Health History 2019-2020

Emergency Form 2019 - 2020

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

2019 Physical form (9th graders and New to District students)

IDPH Immunization Schedule for Fall 2018

Release Form

Release Form (Communication with Student MD's)

Medication At School

Prescription and Non-Prescription Medication Authorization form

Asthma Forms

Asthma Action Plan

Asthma and Epi Pen Self-Administration Authorization Form

Asthma Guidelines for RTHS

Food Allergies

Food Allergy Letter to Parents

Food Allergy Action Plan (English)

Food Allergy Action Plan (Spanish)

Self-Administration Medication Authorization Form

Doctor Food substitution request form

​Release of medical information consent

Seizures

Epilepsy Seizure Action Plan

Diabetes

Diabetes Medical Management Plan

Glucagon Authorization Form

Diabetes Care Aid Release

Student Medical Authorization Form

Notice:  Please contact the Rantoul Township High School nurse with any questions, comments, or concerns about the forms listed on this page.