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Palisades High School

Palisades High School

35 Church Hill Road, Kintnersville, PA 18930
Phone 610-847-5131 Ext. 2 | Fax 610-847-2562
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  • Home
  • Our School
    • Administration
    • Bell Schedule
    • Curriculum by Department/Grade
    • Directions
    • Facilites Use
    • Health Services/School Nurse
    • History
    • How to Reach Us
    • Palisades Cyber Academy
    • Palisades Patch
    • PHS Twitter
    • School Profile Information
    • Upper Bucks County Technical School
    • Weather Station
    • Wellness Committee
  • Activities
    • Virtual Box Office
    • Clubs and In-School Programs
    • Choir and Theatre
    • Band Boosters
    • Athletics
  • For Parents & Students
    • Act 158
    • Advanced Placement 2026-2027
    • AP Summer Assignments
    • Attendance Information
    • Bullying Policy
    • Bullying/Harassment Report
    • Canvas
    • Career Pathway Programs
    • Chromebook Support-One to One Program
    • Class of 2026 Information and Resources
    • Class of 2026-Senior News
    • Class of 2030 Transition to PHS
    • Clever
    • Course Registration Student Meeting
    • Curriculum Guide 2025-2026
    • Curriculum Guide 2026-2027
    • Driver Training Form
    • Food Services
    • Graduation Project Guide
    • Health Services/School Nurse
    • Library
    • Mental Health & Well-being
    • My School Bucks-Online Payments
    • Parent Portal for PowerSchool
    • Parent Volunteer
    • Portfolio Information Site
    • Safe2Say Something PA
    • School Counseling Department
    • Student Accident Insurance
    • Student Assistance Program
    • Student Forms & QR Codes
    • Student Handbook
    • Student Services
    • Summer Learning Opportunities for Students
    • Summer School Information
    • Technology
    • Transcript Request
    • Transcript Request for Alumni
    • Transportation Services
    • Volunteer Experience at PHS
    • Working Papers
    • Yearbook
  • For Staff
  • Teacher Directory
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Informacion Para La Enfermera en la escuela
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Palisades High School » Our School » Health Services/School Nurse » Health Forms

Health Forms

Asthma Action Plan
Concussion Instruction Sheet
Dental Exam Letter
EpiPen Opt-Out Form

Food Allergy Action Plan
Kindergarten Immunization Letter
Medical Emergency Form
Medication Administration Consent Form
Medication Exception for EpiPen and Inhaler
Medication Procedures Letter

Physical Exam Form
Physical Exam Letter

Private Dental Exam
Seizure Action Plan
Severe Allergy Non-Food Action Plan
Sunscreen Student Form
Sunscreen Parent Guardian Form
Vaccine Exemption Card

Palisades High School

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The Palisades School District is committed to providing a website that is accessible to the widest possible audience, regardless of technology or ability. We strive to conform to the Web Content Accessibility Guidelines (WCAG) 2.1 Level AA. We are continuously working to improve the accessibility of our website. If you encounter any barriers or have any feedback, please contact Diana Santoro, Community Relations, at [email protected] or call at 610-847-5131 extension 2401.
35 Church Hill Road, Kintnersville, PA 18930
Phone 610-847-5131 Ext. 2 | Fax 610-847-2562
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