Links
Medication Forms
Medication Non-Prescription Form
Immunization Information
Immunization Schedule and Exemption Form
Immunization Reminder: 7th & 12th Grade Students
Vaccine Information Sheets (VISs)
Health Plans
Misc. Forms

School Health Reminders
*Remember to get your students in for their well child exams and make sure their immunizations are up-to-date!
Medications: It is required that a medication form be filled out in order for health office staff to give out any medications in the school. See Medication Forms.
Health Conditions: If your student has a diagnosis of Diabetes, Seizure Disorder, Anaphylaxis, Asthma, or any other emergent health condition, please contact the school nurse to get an Emergency Care Plan/Health Plan in place. See Health Plans.
Special Diet: If your student needs a special diet and requires substitutions, a Special Diet Statement needs to be filled out by a medical provider. *Parents/Guardians may provide a written request for lactose-reduced milk without a physician’s signature. See Special Diet Statement.

Ellen Bueng, RN
Mahnomen Public School Health Office Nurse
White Earth Tribal Health
Phone: 218-935-2212 Ext. 111
Fax: 218-935-5756
Email: ebueng@mahnomen.k12.mn.us