Health Services
BCPS School Nurses
BCPS School Nurses
606-928-7109
Teresa Crooks
Belinda Gauze
Lisa Payne
Jackie Maynard
KDMC Nurse Practitioner Services Webpage
Forms and Links
Parent Forms
- Allergy Action Plan
- Diabetes Care Plan
- Lice Information
- Medication Form for meds left at school
- Medication Form for meds carried by students
- Medication Form for overnight stay field trip
- Seizure Action Plan
Medical Forms for Special Dietary Needs
Staff Forms
- KY School Physical Form
- KY Eye Exam Form
- KY Dental Screening/Exam
- Medication Administration Incident Report
- Medication Count Sheet for meds dropped off
- Notice of Field Trip for School Nurse
- Pill Count Documentation
- Student Medication Logs