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Nursing Health Services

(337) 521-7280
(337) 521-7281

Forms

Nursing Health Services Documents:

Authorization to Release or Obtain Confidential Information

Medication Form

Anaphylaxis Form

ANAPHYLAXIS HEALTH PLAN.pdf

(opens in a new window)

Authorization to Release or ObtainConfidential Info.pdf

(opens in a new window)

State of Louisiana Medicatiion Order Form 1 - Copy.pdf

(opens in a new window)

Asthma Form

ASTHMA ACTION PLAN 2016.pdf

(opens in a new window)

Authorization to Release or ObtainConfidential Info.pdf

(opens in a new window)

State of Louisiana Medicatiion Order Form 1.pdf

(opens in a new window)

Catherization Form

Authorization to Release or ObtainConfidential Info.pdf

(opens in a new window)

Physician_s Authorization for Catheterization.pdf

(opens in a new window)

Diabetes Form

Authorization to Release or ObtainConfidential Info.pdf

(opens in a new window)

Diabetes Medical Management Plan for School.pdf

(opens in a new window)

Glucagon order.pdf

(opens in a new window)

Glucose tablets.pdf

(opens in a new window)

State of Louisiana Medicatiion Order Form 1.pdf

(opens in a new window)

GT Feed Form

Authorization to Release or ObtainConfidential Info.pdf

(opens in a new window)

Physicians Authorization for Gastrostomy Tube Feeding.pdf

(opens in a new window)

Medical Needs Form

Authorization to Release or ObtainConfidential Info.pdf

(opens in a new window)

MEDICAL NEEDS FORM 4.2020.pdf

(opens in a new window)

Oxygen, Suctioning, Tracheostomy Physician’s Orders

Seizure Form

School Health Plan for Students with SEIZURES 4.2021.pdf

(opens in a new window)

Supplemental order form for Emergency Meds. 4.2021.pdf

(opens in a new window)

SPED Special Needs Form

Authorization to Release or ObtainConfidential Info.pdf

(opens in a new window)

Physicians Authorization for Special Health Services.pdf

(opens in a new window)

Diet Prescription Form 2022-2023

Expected School Absence Form

Statement of Exemption from Immunizations

Region 4 Parish Health Units

Region 4 Parish Health Units

Guidelines for Communicable Conditions

Guidelines for Communicable Conditions

Immunization Schedule 2021

Immunization Schedule 2021

The Flu: A Guide For Parents

The Flu: A Guide For Parents

A Strong Defense Against Flu: Get Vaccinated!

A Strong Defense Against Flu: Get Vaccinated!

Immunization records

Immunization records

Immunization letters

11th grade letter.pdf

(opens in a new window)

6th grade letter.pdf

(opens in a new window)

Upcoming Events

MAY

17

Carencro High Graduation

4:00 PM - 6:00 PM

MAY

17

Northside Graduation

6:30 PM - 8:30 PM

MAY

18

Southside Graduation

8:00 AM - 10:00 AM

View all events

This site provides information using PDF, visit this link to download the Adobe Acrobat Reader DC software.

LPSS is a public education institution for grades PreK-12. We are one of the largest school districts in Louisiana, with over 4,000 employees serving over 30,000 students. Our goal is to provide the best education available to all students so that they can compete globally.

District Office Hours:
Monday-Friday: 7:30 a.m. - 4:30 p.m.

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Mailing Address:
PO Drawer 2158
Lafayette, LA 70502
Physical Address:
202 Rue Iberville
Lafayette, LA 70508-1502
Call us at (337) 521-7000

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