Welcome to the school nurse's page. This page is where you will find access to medical forms, action plans, and upcoming information. If your child has a serious medical condition, such as seizures, diabetes, asthma, heart issues, or food allergies, please complete an action plan and turn it in to me or their school at registration with their other paperwork. Also, medication authorizations must be filled out by your physician if your child will be taking any prescription or over the counter medication while at school. Children entering Pre-K, Kindergarten, 6th, or 9th grades require physical exams (Please note that sports physicals do not count as health exams). Please refer to the immunization guide for grades requiring immunizations. If you are new to the district, please contact me for further specific needs.

Donna Pierson, BSN, RN
Health Care Supervisor
2803 South Banker Street
Effingham, IL 62401
Phone # 217-540-1507
Fax# 217-540-1512

Action Plans 
Asthma Action Plan
Bee Sting Action Plan
Cardiac Action Plan
Diabetes Action Plan
Food Allergy Action Plan
General Action Plan
Seizure Action Plan

Immunization Forms
Immunization Requirement Guide
Religious Exemption Form

Dental Exam Form (Spanish)
Dental Exam Form
Dental Exam Waiver Form (Spanish)
Dental Exam Waiver Form
Epi Pen Authorization Form
Eye Exam Form
Medication Authorization Form
Physical Form

Lead Questionaire (Spanish)
Lead Questionaire
Lice Brochure