Immaculate Heart of Mary
7800 Beechmont Ave.
Cincinnati, Ohio 45255
513.388.4086
Absent/ Tardy Line 388.5650

 

 

 

 

Medical/School Forms
Authorization to Administer Prescription or Non-Prescription Medication
Authorization for Student Possession and Use of an Epinephrine Autoinjector
Exemption:  (form 1) Immunization, (form 2) Hearing and Vision
Emergency Medical Response Plan - Universal
Emergency Medical Response Plan - Asthma
Emergency Medical Response Plan - Severe Allergy
Student Medical Record (Physical)
Family Emergency Plan - for book bag
Field Trip Permission