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Get Fairfax County Public Schools SS/SE-71 2018-2024

Rm us about your student s health condition that affects his or her school day This form is necessary to inform the Public Health Nurse (PHN) of your child s health status and to plan for health needs that may impact his/her school day. Information is only shared with required school staff as needed. Information provided on this form is protected by the Family Educational Rights and Privacy Act (FERPA) as part of the student s educational record and is securely stored in the health room.

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