| Number/TItle |
Department |
Availability |
| Abdominal/Epigastric Pain: Gastroenteritis Diagnostic Guidelines - AD-H-489 (5/06) |
Health Services (594-3735) |
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| Anaphylaxis - AD-H-429 (2/02) |
Health Services (594-3735) |
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| Asthma - Self Possession of an Asthma Inhaler by a Student AD-H-485 |
Health Services (594-3735) |
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| Authorization for News Media Contact - PA-101 (11/04) |
Public Affairs (594-1905) |
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| Body Fluid Exposure Protocol for Bites/Saliva - AD-H-307 (5/06) |
Health Services (594-3735) |
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| Burns - AD-H-407 (6/07) |
Health Services (594-3735) |
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| Chicken Pox Information - AD-H-345 (6/05) |
Health Services (594-3735) |
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| Citizen’s Request For Reconsideration of Instructional Materials - MC-114 (7/90) |
Media/Materials Center |
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| * Comment Card - PA-102 (9/06) |
Public Affairs (594-1905) |
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| Conjunctivitis Information - AD-H-322 (6/05) |
Health Services (594-3735) |
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| * Dental Insurance Enrollment/Change - BO-178 (7/09) |
Employee Benefits (594-1686) |
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| Dental Services - AD-H-472 (7/06) |
Health Services (594-3735) |
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| Diabetes Information Sheet - AD-H-360 (8/07) |
Health Services (594-3735) |
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| Diabetes Mellitus Health History - AD-H-311 (5/08) |
Health Services (594-3735) |
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| Dysphagia Swallowing Disorder Protocol - AD-H-488 (12/08) |
Health Services (594-3735) |
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| Employment Questionnaire (non-certified) - HR-101A (12/00) |
Human Resources (594-1929) |
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| Enrollment Requirements - Parent Letter - AD-H-383 (6/09) |
Health Services (594-3735) |
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| Facility Permission Application for Use of School Grounds and Physical Facilities - BO-109 (3/03) NOTE: This form is 8.5 x 14 (legal). To print on MAC, select Page Setup (under file on the menu) paper size should be legal. On a PC select print, then properties and choose legal. |
Administrative Assistant to the Superintendent (594-1614) |
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| Fifth Disease (Erythema Infectious) Information - AD-H-348 (2/97) |
Health Services (594-3735) |
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| Flexible Benefit Plan Compensation Reduction Agreement - BO-106 (7/09) |
Employee Benefits (594-1686) |
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| Guidelines For Access to Electronic Media - MC-108 (9/06) NOTE: This form has been reformatted to fit on 1 page. |
Media/Materials Center |
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| Guidelines for Illness - AD-H-354B (9/07) |
Health Services (594-3735) |
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| Guidelines for Managing Life-Threatening Food Allergies - AD-H-505 (9/07) |
Health Services (594-3735) |
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| Head Lice Guidelines - AD-H-325 (3/09) |
Health Services (594-3735) |
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| Heat Related Illnesses Protocol - AD-H-324 (6/05) |
Health Services (594-3735) |
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| Hepatitis A, B, and C: Learn the Differences - AD-H-471 (6/05) |
Health Services (594-3735) |
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| Hepatitis A Information - AD-H-482 (6/07) |
Health Services (594-3735) |
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| Hepatitis B Information - AD-H-483 (6/07) |
Health Services (594-3735) |
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| Hepatitis C Information - AD-H-484 (6/07) |
Health Services (594-3735) |
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| Herpes Simplex, Type I (Fever Blister) Information - AD-H-476 (7/05) |
Health Services (594-3735) |
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| How To Get There (Directions to Schools) - MO-106 (7/05) |
Maintenance and Operations |
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| Important Information About Measles, Mumps & Rubella - AD-H-313 (4/94) |
Health Services (594-3735) |
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| * KCS-TV Video Production - PA-103 (5/09) |
Public Affairs (594-1991) |
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| Management of Students with Severe Allergic Reactions - AD-H-363 (6/05) |
Health Services (594-3735) |
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| Medical Statement for Students Requiring Special Meals - FSD-49 (8/09) |
Food Service (594-3640) |
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| Mononucleosis (Mono) Information - AD-H-481 (7/05) |
Health Services (594-3735) |
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| New Student Enrollment - CI-276 (8/09) |
Curriculum/Instruction |
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| * Notice of Appeal of Long-Term Suspension/Expulsion (For Suspensions and Expulsions of five (5) Days or More) - CI-130 (3/09) |
Curriculum/Instruction |
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| Notice of Parent and Student Rights Under Section 504 - CI-200 (2/08) |
Curriculum/Instruction |
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| Optional Medical Release (for use with field trips) - CI-246 (5/07) |
Curriculumm/Instruction |
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| Parent Communication Form - CI-190 (5/96) |
Curriculum/Instruction |
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| Parent Feeding Questionnaire - AD-H-356 (12/08) |
Health Services (594-3735) |
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| Parent Permission and Release For Student Participation in Club Activity - CI-253 (2/06) |
Curriculum/Instruction |
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| Parent Referral to S-Team - CI-168 (10/02) NOTE: This form is 8.5 x 14 (legal). To print on MAC, select Page Setup (under file on the menu) paper size should be legal. On a PC select print, then properties and choose legal. |
Curriculum/Instruction |
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| Parental Concern - AD-T-209 (8/05) |
Transportation (594-1550) |
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| Physical Exam and Sports Medical Permission - CI-191ABC (1/09) |
Curriculum/Instruction |
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| Physical Examination and Immunization Information - AD-H-395 (2/09) |
Health Services (594-3735) |
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| Physician Form for Administration of Medication and Self Medication Administration - AD-H-326 (7/09) |
Health Services (594-3735) |
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| Physician's Order for Ventilator Settings - AD-H-511 (8/09) |
Health Services (594-3735) |
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| * Physician’s Verification of Illness and/or Maternity Leave - HR-102 (3/09) |
Human Resources (594-1929) |
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| Pinworms Information - AD-H-327 (6/07) |
Health Services (594-3735) |
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| Poison Ivy/Oak (Contact Dermatitus) Information - AD-H-346 (6/05) |
Health Services (594-3735) |
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| * Pre-K Application 2009-10 (594-1755) - CI-111 (3/09) |
Curriculum/Instruction |
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| Protocol for Dental Concerns - AD-H-443 (5/02) |
Health Services (594-3735) |
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| Questions For Teenage Pregnancy Survey - AD-H-312 (9/93) |
Pupil Personnel – Home/Hospital (594-1518) |
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| Recommended Guidelines for Injuries and Illness Requiring First Aid and/or Emergency Care - AD-H-354A (8/07) |
Health Services (594-3735) |
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| Reference Guide for Ventilator Alarms - AD-H-510 (8/09) |
Health Services (594-3735) |
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| Release of Claims for Future Accidental Injuries - CI-194 (2/05) |
Curriculum/Instruction |
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| Release/Authorization to Publish - PA-100 (11/04) |
Public Affairs (594-1905) |
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| Review of Assessed Fee (Facility Permission) - BO-124 (6/99) |
Administrative Assistant to the Superintendent (594-1614) |
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| Rights of Children with Disabilities and Parent Responsibilities - Procedural Safeguards Notice - PP-156 (8/06) |
Pupil Personnel |
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| Ringworm Information - AD-H-344 (8/07) |
Health Services (594-3735) |
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| Scabies Information - AD-H-347 (8/07) |
Health Services (594-3735) |
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| School Bus Complaint - AD-T-211 (8/05) |
Transportation (594-1550) |
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| * Security Flex 125 Program Medical/Dependent Care Reimbursement Program Claim - BO-179AB (7/09) |
Employee Benefits (594-1686) |
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| Seizure Description - AD-H-493 (8/07) |
Health Services (594-3735) |
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| Seizure Disorder Protocol - AD-H-365 (7/08) |
Health Services (594-3735) |
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| Shigellosis Information - AD-H-391 (8/07) |
Health Services (594-3735) |
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| Shingles (Herpes Zoster) Information - AD-H-486 (6/07) |
Health Services (594-3735) |
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| Skin Rash Information - AD-H-350 (6/05) |
Health Services (594-3735) |
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| Sore Throat Information - AD-H-328 (2/02) |
Health Services (594-3735) |
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| Special Education Services Available Through Knox County Schools - PP-155 (2/07) |
Pupil Personnel |
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| * State of Tennessee Group Insurance Program Enrollment/Change Application - BO-177 (7/09) |
Employee Benefits (594-1686) |
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| Strep Throat Information - AD-H-349 (6/05) |
Health Services (594-3735) |
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| Student Intern Background Information - HR-130 (2/08) |
Human Resources (594-1929) |
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| Student Medical Profile - CI-277 (8/09) |
Curriculum/Instruction |
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| * Travel Expense Reimbursement Request for Private Schools - BO-134P (1/09) |
Finance Office |
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| Vagus Nerve Stimulation Protocol - AD-H-453 (6/07) |
Health Services (594-3735) |
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| * Vision Insurance Enrollment/Change - BO-176 (7/09) |
Employee Benefits (594-1686) |
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