11/12 Nurse
Welcome to the WTHS 11/12 Health Office, a great place to practice preventative medicine! I look forward to working with you and your children so that they can be their healthiest in order to have a successful school year. We will be doing screenings as per State mandate in the following areas:
1. Height/Weight- 11th and 12th grade
2. Blood Pressure-11th and 12th grade
3. Hearing- 11th grade
4. Scoliosis- 12th grade
Due to the large number of students attending WTHS, it will take months to complete all of the screenings. Therefore, if you feel your child may need to be screened earlier in a particular area (such as vision), please let us know. We are available Monday through Friday from 7:00am until 2:20 pm. Please call us at 589-8500 ext 7044. FAX: 856-256-9149. You can also email me: Kluckiewicz@wtps.org
Kathleen Luckiewicz, RN, CSN
Dina Furlong: Health Assistant
FREE & REDUCED LUNCH - Information and Application
- Anaphylaxis/Allergy Action Plan #1 (Allergies requiring EPI-pen)
- ASTHMA Action Plan (Requiring Inhaler)
- DIABETES Management Plan
- SEIZURE Action Plan
- MIGRAINE Action Plan
- Daily Medication Administration (Needed to take meds in school)
- Entry Physical Exam (For ALL Students enrolling from Out of State/Country) - Please include a copy of vaccine record.
- Sports Physical Paperwork
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- Parent Checklist
- Health History Form (Doctor's office will keep in their files)
- Physical Evaluation Form (Doctor's office will keep in their files)
- Medical Eligibility Form (Submit to WTHS Athletics Office)
- HHQ (Health History UPDATE questionaire) (Submit to WTHS Athletics Office)
- *Please see above for any Action Plans (They need to accompany the paperwork to Athletics)
- HOME INSTRUCTION FORMS
Office Hours: 7:00 am-2:25 pm academic calendar.
Please feel free to email me at Kluckiewicz@wtps.org for any health care concerns for your child