Annual Nurse Emergency Form

Department:  Superintendent's Office  
Type:  Health Form  

Dear Parent/Guardian:


The Annual Nurse Emergency Form must be filled out for every student.  Click above to download form.


PLEASE note that the form has two pages. On Page 2 is space for you to list health information including allergies, medications and any health concerns your child may have. In addition, your signature is required for medication administration and release.


Due to Massachusetts state medication regulations, school nurses may not administer any medication to your child without your signature.

While you may have filled out other forms for your child related to prescription medication administration, sports clearance, or a central office registration, the Annual Nurse Emergency Form is still required for all students. We understand any frustration that may arise with start-of-school-paperwork; however, this form is necessary for your child's safety and so we may have accurate information when the need arises. Please complete, sign (in two places) and return to Health Services before the beginning of school. Completed forms should be returned via email, fax, or US Postal Service to:

    Health Services                                   Fax:  781-786-5839
    Weston High School                            Email:
    444 Wellesley Street
    Weston, MA 02493


As always, if you have any questions or concerns, please contact the nurse at your child’s school.

Best wishes for a happy, healthy school year.

Patricia Wright, RN
School Nurse Leader


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