Medical Forms

Student Information Form (PDF)

Immunization Record Form

Medication Permission Form

Medical Release Form (PDF)

Asthma-Anaphylaxis Action Plan

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Southern School District
115 South 11th St.
P. O. Box 236
Wymore, NE 68466
402-645-3326
fax: 402-645-8049

Southern Jr/ Sr High
115 South 11th St.
P.O. Box 236
Wymore, NE 68466
402-645-3326
fax: 402-645-8049

Southern Elementary
315 West 2nd St.
P.O. Box 158
Blue Springs, NE 68318
402-645-3359
fax: 402-645-3740


Web Page Editor
Carol Braun
cbraun@southernschools.org
402-645-3326