The Nurse Referral #140 is a great tool for teacher or administrators to use when sending a student to the nurse's office. It facilitates record keeping with the additional copies as well as serves as a pass for readmission to class. In cases where HIPAA regulations need to be met, the teacher copy can be removed before nurse fills in nurse's report section, or simply removed prior to sending the child to the nurse. Also see our 2-part version to meet these needs as well. Use it with our Confidential Envelope to send confidential communication home to parents.
Form Size: 8.5" x 4.25"
Paper Colors: White, Pink, Canary
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5 Reviews Hide Reviews Show Reviews
I appreciate how quickly these forms arrived at our school.
The 3 part Nurse forms are great for keeping records.
It was easy to reorder my forms. I am happy with the speed of receiving them!
Very functional forms for our entire elementary building.
Will be ordering more to use throughout the rest of the district.